The inspection was led by one inspector. Information we gathered during the inspection helped answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, the staff supporting them and from looking at records.
Only one person lived at this care home. He had lived with the family since childhood as a member of the family. The home is run as a normal domestic household and not a residential care home.
If you want to see the evidence supporting our summary please read our full report.
Is the service safe?
The individual told us he felt safe and his rights and dignity was respected. He told us he was receiving safe and appropriate care which was meeting his needs.
There were policies and procedures in place in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards. The provider understood when an application should be made and how to submit one. This meant that the person would be safeguarded as required.
The service was safe, clean and hygienic. The person told us they were happy and well looked after.
Is the service effective?
The person's health and care needs had been assessed with him, and he was involved in writing and updating his care records. Risks had been assessed to identify the potential risk of accidents and harm. From the assessments, care had been planned to reduce identified risks.
The individual told us he made his own decisions on a day-to-day basis, with advice, usually from his 'mum' when he wanted it. Their routines ran around his needs, likes and dislikes.
Is the service caring?
The person was supported by his 'mum' and 'family' who had cared for him since he was a child. They were patient and loving and gave encouragement and support in all his activities.
When we arrived at his home the person showed us photographs on his laptop of his recent activities and holidays. He took us into the garden to see his new greenhouse that he had helped to build and the vegetables he was growing. He was clearly happy and fulfilled, enjoying an interesting life with varied activities and a close family network which gave him love and support. The person said, 'We have a great time, me and Mum. We often go out for meals on our days out.'
Is the service responsive?
Routines and activities were organised around the person's needs, likes and dislikes. He told us how he and his 'mum' planned their days out and of activities they had done recently.
We saw that where the person had any health issues these were discussed with him to make sure that he understood and to seek his agreement. These were dealt with in a timely manner.
He knew how to make a complaint if he was unhappy. However he told us he had no reason to complain.
Is the service well-led?
Although there was no formal quality assurance system in place, the provider constantly checked whether she was meeting the person's needs and desires.
Records showed that identified problems and opportunities to change things for the better were addressed promptly. As a result the quality of the service was continuously improving and providing person centred care