Georgian House

Date of Assessment: 7 to 14 January 2025. The service is a residential care home providing support for up to 43 adults of all ages living with mental health conditions. An assessment has been undertaken of a service that is used by autistic people or people with a learning disability but is not registered as a specialist service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. At our previous inspection we identified breaches of the regulations in relation to; the Mental Capacity Act, management of risk, safeguarding, staff training and oversight of the service. The service had made improvements and is no longer in breach of regulations. The rating has improved from requires improvement to good. Systems to identify new risks and respond in a timely manner had improved. Risk assessments were completed and there was information to guide staff on how to protect people from harm. A safeguarding lead role had been developed. This had led to improved systems for recognising and responding to safeguarding incidents. Managers and staff now had a good understanding of the MCA. Capacity assessments were decision specific and evidenced how people had been supported to understand information. An in-house trainer monitored staff practice which enabled them to identify any gaps in training. Staff told us they were well supported and described a positive working environment. Care plans were person-centred and reflected people’s individual needs. However, goals associated with people’s personal development were not well documented. There were clear roles and responsibilities within the management team and these were known and understood by staff.