Grammar School House

Grammar School House is a residential care home supporting up to 12 adults with learning disabilities and autistic spectrum conditions. This inspection report details the findings of the Care Quality Commission (CQC) visit in May 2019. The service has been developed to promote independence and meaningful lives for residents, with a focus on person-centred support. Its location in the village and ongoing refurbishment contribute to a welcoming, community-integrated environment. Relatives have expressed high satisfaction, describing the care as "second to none" and noting the "nice family feel" and how well staff understand residents' needs.

Regarding safety, residents are protected from avoidable harm, with staff trained in safeguarding and aware of reporting procedures. Risk assessments are personalised and inform safe care practices, covering diverse needs like epilepsy and mobility. The service has learned from previous inspections, implementing changes such as improved bathroom lock mechanisms. There are sufficient, consistent staff, and recruitment processes ensure suitability. Medicine administration is safe and follows strict protocols, with a focus on reviewing psychotropic medication use. Infection control training and practices are in place, and the service is kept clean.

In terms of effectiveness, care and support consistently achieve good outcomes and promote quality of life. Assessments are thorough, ensuring needs can be met before residents move in. Staff possess the necessary skills and knowledge, supported by robust induction, training, and supervision. Residents' nutritional needs are met with healthy food options and involvement in preparation, with staff attentive to both verbal and non-verbal cues for food and drink. Collaboration with healthcare professionals is timely and comprehensive, with staff acting on advice and keeping records detailed. The service operates within the Mental Capacity Act, promoting choice and control, and staff understand the importance of consent. The building's design and ongoing refurbishment have successfully adapted it to meet residents' needs, making it feel domestic and comfortable.

The service's approach to caring is evident in how staff treat residents with dignity and respect. Staff are described as kind, committed, and compassionate, fostering a family-like environment where they are genuinely dedicated to their residents' well-being. Residents' individual needs, preferences, and communication styles are well understood, leading to meaningful interactions. Care plans reflect detailed life histories, contributing to staff's in-depth knowledge. Residents are actively involved in decision-making about their care, with their views listened to and acted upon. Privacy, dignity, and independence are respected and promoted throughout the service.

Responsiveness to individual needs is a key strength, with care plans that are person-centred and developed in consultation with residents and their families. Staff are proactive in identifying and responding to changes in residents' physical and mental health, ensuring timely referrals and adherence to professional advice. The service actively supports residents to access community activities and maintain links with local facilities, promoting inclusion. Feedback mechanisms are in place, and changes are implemented based on resident and relative input, indicating a commitment to meeting diverse needs.

The well-led aspect of the service is demonstrated by robust management systems focused on quality and safety. The provider has systems to monitor service quality and drive continuous improvement, acting on feedback and inspection findings. The management team actively supports the registered manager, and there is a clear understanding of responsibilities and legal requirements. Communication is effective, and the service is part of a national organisation with established safety reporting and learning processes. The focus on developing staff skills, alongside a proactive approach to recruitment and staff retention, contributes to a stable and competent team.

While the report highlights many positive aspects and improvements since the last inspection, it's important to note that ongoing attention to detail in all areas ensures the continued high quality of care provided at Grammar School House.