About the service Kahanah House is a residential care home providing personal care to 6 people with mental illness or learning disabilities at the time of the inspection. The service can support up to 8 people. Not all people required support from staff with their personal care although some needed prompting and minimal assistance at times.
The property is situated in the centre of Exmouth within easy walking distance of shops and local services. The home can accommodate six people in the main building and two people in a bungalow at the rear of the house.
People’s experience of using this service and what we found
People told us they were very happy living at Kahanah House and felt safe. A person told us, “I really love it. This is my home now.” Relatives and professionals also praised the service and told us they were confident people were safe and well cared-for. Comments included, “They are doing brilliantly” and “They are kind people. I can’t fault them.”
People were supported by sufficient numbers of staff who knew them well and understood how they wanted to be supported. People told us staff were always available when they needed support. Staff understood the risks to people’s health and well-being and kept these under review. Medicines were stored and administered safely. Staff followed good infection control procedures to ensure people were protected from the risk of infections including COVID 19.
Care plans were drawn up and agreed with people. The plans provided sufficient information to ensure staff understood each person’s individual health and personal care needs. Staff had the skills and training to meet each person’s needs. They received regular supervision and good support. People were supported to make decisions about all aspects of their lives.
The staff were caring and empathic and helped people to achieve positive outcomes. People were encouraged to lead active and fulfilling lives, and gain independence. Staff understood the things that people worried about, and the things that made them upset. Staff gave people opportunities to express their views and feelings, and were always willing to sit and listen, and offer reassurance.
The home was well-managed. There were systems in place to monitor the service, seek people’s views, and to make improvements where needed. The service worked closely with relatives and local professionals and services to ensure the best outcomes for each person.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People lived in a small group setting. The home is situated close to local services and amenities and people were able to access the community easily. People were supported to gain new skills and work towards gaining greater independence. They received support that was personalised to meet their individual needs.
Right support:
• Model of care and setting maximises people’s choice, control and independence
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 April 2020 and this is the first inspection.
Why we inspected
This was a planned inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.