Northfield House

The provider and staff worked closely with other professionals. Staff understood their safeguarding responsibilities. Risks were well managed and care plans and risk assessments were person centred. There was a proactive culture of looking for lessons that could be learned or improvements that could be made. The service worked with people to plan for when they experienced periods of distress. Records included clear, person-centred, positive behaviour support plans. Required checks were made prior to staff starting to work at the service. Staff received the training and support they needed to undertake their roles effectively. Staff were deployed in a way that enabled individuals’ needs and interests to be supported. The home and equipment were clean, and risks associated with infections were assessed and well managed. The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences.

People’s records were detailed and reflected important past events, what was important to and for the person. Care records included detailed descriptions of how people communicated; including where they used any communication aids or systems. Staff told us there was a very good culture and supportive teamwork. Records included assessments of people’s capacity, and best interest decisions where required.

Staff spoke about people respectfully and with fondness. There was a culture of gentle encouragement and staff spoke with pride about people’s achievements and abilities. Staff valued and respected people’s individuality and treated people with respect. Staff told us they enjoyed working at the home. They told us the service was much improved and spoke very positively about the culture and the support they got from managers. Staff said, “I am proud of what we do. I am so happy” and “Everyone works together, we're a really good team.”

There was a system in place for responding to any concerns or complaints. The environment was arranged to give people opportunities to spend time with other people who lived at the home, but also to have privacy when they wanted it.

Managers were very committed to providing responsive, individualised care and support. Staff we spoke with shared that commitment. A manager from another part of the provider organisation was starting to work at the service and had applied to CQC to become the registered manager. Staff were very positive about the managers and the way the service was organised and run. One staff member told us, “The managers are really approachable; and the service users are getting out more on activities. The management have really pushed the 2 to 1s and people get the hours they're funded for.”

The provider and managers had good oversight and knowledge of the service. There was a range of quality monitoring and auditing in place.

The provider was previously in breach of the legal regulation in relation to person-centred care and safe care and treatment. Improvements were found at this assessment and the provider was no longer in breach of these regulations.