Broughton House 12 High Street is in the small rural village of Brant Broughton. It is registered to provide services for people with learning disabilities. The service was provided from one house over two floors.
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 registered for the support of up to five people and five people were using the service. The service was provided from one house over two floors.
People’s experience of using this service and what we found
People were extremely well supported by an effective management team and staff group at the service. The staff worked in an open and transparent way, using their quality monitoring processes to provide excellent care for people. The communication and collaboration between people, relatives, staff and the supporting multidisciplinary team meant people received outstanding personalised care which had positive impacts on their daily lives. One relative said, “They are excellent at making sure families are involved.”
Staff had excellent knowledge of the people they supported. They used that knowledge to care for people in a positive and empowering way. People’s independence, social and life skills were enhanced by the knowledge and attitude of staff who supported them. People were actively encouraged to expand their horizons and develop in whatever way they could. All achievements were celebrated and shared with people’s families in an inclusive way.
We found a caring and empathetic staff group who enjoyed working with the people they supported. Relatives told us there was excellent communication from staff about all aspects of their family member’s care. Families were welcomed at the service and felt their relations were treated with care and respect by the staff. Our observations of the interactions between people and staff supported this. Relatives views on their family member’s care were used to provide personalised care, and they were encouraged and welcomed to take part in regular reviews of people’s care.
People’s nutritional needs were well managed, and their different dietary needs were met. People were well supported with all their health needs through established systems of care using the provider’s multidisciplinary health professional team, and the well-established links with the local healthcare team.
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 lived in an environment that was regularly cleaned and maintained to meet their needs. They were supported by a staff group who received appropriate training to support them in their roles.
There were robust safeguarding systems in place which were used effectively by staff who showed an excellent knowledge of their roles in protecting the people in their care. The management team had robust processes in place to ensure learning from incidents and events to reduce future risk or reoccurrence. The risks to people’s safety were comprehensively and positively assessed to ensure people were both protected from harm and could enjoy a full range of life activities safely.
People were supported by a strong staff group who had been through a safe recruitment process, and who received regular monitoring and support from the management team.
People’s medicines were managed safely by a staff group who had received the appropriate training for their role.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service was Good (15 February 2018)
Why we inspected
The inspection was prompted in part due to concerns received about a possible safeguarding incident.