We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.About the service
Francis House is a residential care home providing accommodation and personal care for up to nine people with a learning disability and autistic people. At the time of the inspection, eight people were living at the home, one person was in hospital.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
Francis House does not fully meet the current guidance on small, ordinary homes forming part of a local community. However, we found Francis House was based very close to local amenities. People had a good relationship with their local community and regularly accessed local facilities. Plans were underway to forward plan for changes in people’s mobility. There was a stairlift in place and the provider was in the process of exploring the potential to install a passenger lift.
People told us they felt safe. Staff knew how to manage any risks and report any concerns. There were sufficient numbers of staff to meet people's needs. Medicines were managed in a safe way.
Right Care
People were supported by a caring and kind staff. One person told us, “I like my keyworker and I can talk to them about anything.” Staff knew people very well and knew their likes and dislikes. People were supported and encouraged to become more independent, where possible. One person told us, “I like to help with the cooking.” Another person told us, “I make my bed and clean my bedroom.” People were supported to do things they enjoyed doing. One person told us about volunteer work they enjoyed doing in their local community.
Right Culture
Staff told us they received the support they needed to carry out their role. People told us the registered manager was helpful and caring. A relative told us, “They [Registered manager and staff] are marvellous, [person’s name] is doing more now than they have ever done. The staff are so good and know how to support [name] and they are more confident and more independent since moving to Francis House.”
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
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture.
We also inspected because Lisieux Trust Limited had applied to change the name of their legal entity and register as a company from that of a registered charity. This means they are registered now as a new service and we needed to inspect and rate the service.
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. This included checking the provider was meeting COVID-19 vaccination requirements.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.