Pathway House

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last inspection we rated this key question Requires improvement. At this inspection the rating has changed to Good. This meant people were safe and protected from avoidable harm.

People were safe using the service. Staff were trained in safeguarding and knew how to report concerns if necessary. There were enough suitably trained and competent staff to support people. Risks to people were assessed and mitigated as far as possible and people were supported safely with their medicines. Staff supported people to take positive risks and knew how to support people when they were upset or anxious. The environment at the service was safe and staff followed good IPC procedures to help keep the service clean.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last inspection we rated this key question Requires improvement. At this inspection the rating has changed to Outstanding. This meant people’s outcomes were consistently better than expected compared to similar services. People’s experiences showed the service as exceptional and distinctive.

The way in which people’s needs had been assessed and reassessed was exceptional and had led to some extremely good experiences and outcomes for people. The management and staff team used best practice guidance to support people to have the best experiences of support they could have. Staff supported people to live healthy lives in innovative ways, whilst maintaining and respecting their choices. This had a hugely positive impact for people. People were supported in line with the Mental Capacity Act (MCA).

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

At our last inspection we rated this key question Good. At this inspection the rating has changed to Outstanding. This meant people were truly respected and valued as individuals; and empowered as partners in their care in an exceptional service.

Staff were incredibly kind, caring and supportive and were committed to supporting people to live the way they wanted to. People were fully in control of their care and support and staff prioritised supporting them to be as independent as they chose to be. There was a focus on treating people as individuals and focusing in on how best to support them with their own personal preferences, likes and dislikes. The positive outcomes people had been supported to achieve as a result of staff support were excellent.

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last inspection we rated this key question Good. At this inspection the rating has remained Good. This meant people’s needs were met through good organisation and delivery.

Staff supported people in line with their likes, dislikes and preferences. People were supported to communicate in ways that made sense to them. People were supported to follow their interests and be an active part of the local community. Care plans were person centred and detailed, giving clear guidance about how best to support people. People were being supported to have positive experiences and outcomes.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last inspection we rated this key question Requires improvement. At this inspection the rating has changed to Good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

Governance measures and audits were effective in monitoring the quality of the service and implementing and making improvements in other areas where necessary. There was a positive culture at the service. People were happy with their support and enjoyed living at the service and following their past times. Staff enjoyed working at the service and felt well supported. There had been a lot of improvements at the service since our last inspection.