About the service Lorne House is a residential care home providing personal and nursing care to eight people who have learning disabilities, at the time of the inspection. The service can support up to nine people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was a large home split between two linked semi-detached houses. It was registered for the support of up to nine people. Eight people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
Lorne House applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People felt safe living at the home and safeguarding procedures were in place to protect them. Staff were
recruited safely, and enough staff were on duty to provide safe care during our visit. Staff had the training and skills they needed to support people effectively.
Risks associated with people's care and support were assessed. Detailed risk management plans helped
staff to manage and reduce risks. People were involved in planning and reviewing their care and support.
Care plans contained detailed information and clearly reflected people's individual preferences for how they
wished their care and support to be delivered.
People made every day decisions for themselves and took part in a range of social activities to maintain their own personal interests. People received responsive and personalised care from staff who knew them well. Individuality and diversity were recognised. People's feedback was sought so any improvements or suggestions could be acted upon.
The provider and registered manager checked the quality of care provided and developed action plans to improve people's care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 22 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lorne House on our website at www.cqc.org.uk.