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
Firs Court is a ‘care home’ that provides care and support for up to nine people. In addition, there is a supported living service for six people and four adjacent houses providing independent living. All the people who live at Firs Court have a learning or physical disability. There were six people living in the care home, and six people in supported living. The service is in Chessington, south west London.
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
People were provided with a service that was safe for them to use and for staff to work in. Service quality was reviewed, and changes made to improve people’s care and support when required. This was in a way that best suited people. There were well-established working partnerships that promoted people’s participation and reduced their social isolation. They had choices, followed their interests and hobbies and did not suffer from social isolation. People and their relatives received information in a forthcoming and timely way that enabled them to make decisions.
Right Care
People received responsive, person centred care and were supported with their needs that were regularly reviewed and recorded in their care and support plans. There were enough suitably trained, recruited and supervised staff who supported people to live in a safe way and enjoy their lives. Any risks to people and staff were assessed and monitored. Staff understood people’s health needs and provided them with access to community-based health care professionals, as well as supporting them appropriately. People were protected by staff from nutrition and hydration risks and they were supported to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people’s needs. Transition between services was based on people’s needs and best interests. Complaints, concerns, accidents, incidents and safeguarding issues were reported, investigated and recorded. Trained staff safely administered medicines to people.
Right culture
The service had a warm, welcoming and friendly atmosphere with people enjoying the way staff gave them care and support. The staff we observed were caring and compassionate. Many positive interactions took place between people, staff and eachother. Staff observed people’s privacy, dignity and confidentiality. People had access to advocates and were encouraged and supported to be independent. The management was transparent with an honest, open and positive culture. The provider’s vision and values were clearly defined, and staff understood and followed them. Staff were aware of their responsibilities, accountability and were prepared to take responsibility and report any concerns they may have. People did not experience discrimination against them, and their equality and diversity needs were met.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 14 March 2022 and this is the first inspection.
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.
The overall rating for the service is good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Firs Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.