Background to this inspection
Updated
19 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Famille House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We had limited conversations with people who used the service about their experience of the care provided. We spoke with three care staff and the registered manager. We spent time observing the care people received in their home, this helped us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and their medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
19 November 2019
Famille House is a residential care home providing personal care to 11 people at the time of the inspection. The service can support up to 16 people who have a learning disability and sensory impairment. The care home accommodates 15 people across two floors in a residential building.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The care and support people received was safe. Staff knew how to keep people safe from avoidable harm and abuse. Risks associated with people’s care had been assessed and regularly reviewed to reflect the support people needed to be safe. People’s medicines were managed safely.
People were supported by well trained and experienced staff. They supported people to meet their nutritional needs and access health care professionals when required. People were not unlawfully deprived of their liberty. The support people received complied with relevant legislation and laws.
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.
Staff were kind and compassionate. They treated people with dignity and respect. They took steps to promote people’s right to privacy and enabled them to be involved in decisions about their care.
The care people received was tailored to their individual needs. Their care plans reflected their individual needs. People had access to a range of activities and were supported to follow their interests.
The leadership of the service was transparent and effective. Staff were supported to fulfil the responsibilities of their role. The provider had systems in place to monitor the quality of care people received and supported improvements at the service.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 26 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.