Background to this inspection
Updated
8 August 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
This inspection was carried out by one inspector.
Service and service type
Ferriby Lane 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 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 and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection
During the inspection
We spoke with three people who used the service about their experience of the care provided. We also spoke with two members of staff, the registered manager for the service and another manager from another service who was supporting with the inspection.
We reviewed a range of documents. This included three people’s care and medicines records. We looked at four 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.
After the inspection
Following the inspection we spoke with one relative.
Updated
8 August 2019
About the service
Ferriby Lane is a large semi detached property with gardens to the front and rear. It is set on a residential street and is close to local shops, amenities and public transport. Ferriby Lane is registered to provide care and accommodation for up to 9 adults with learning disabilities, autism and associated complex needs. At the time of our inspection 4 people were living there. A self-contained flat is also provided within the service.
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
Everyone we spoke with was positive about Ferriby Lane. We observed there was a homely atmosphere and people and staff had developed good and caring relationships built on trust and mutual respect. The good outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; people's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The provider had systems in place to safeguard people from abuse. Staff understood how to keep people safe. They recognised and reported any safeguarding concerns. Required risk assessments were in place and medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to mitigate risks.
Staff were recruited safely and had the appropriate skills and knowledge to deliver care and support to people in a person-centred way.
Care plans contained relevant information about how to meet people's needs and were regularly reviewed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People were supplied with the information they needed at the right time, were involved in all aspects of their care and were always asked for their consent before staff undertook support tasks.
The environment was warm, welcoming, clean and free from malodours. People’s rooms were personalised.
There was a wide range of opportunities for people to engage in activities, attend college courses and follow hobbies and interests. Visitors were welcomed.
People were positive about the staff and told us their privacy and dignity were promoted. Preferences and choices were considered and reflected within records.
People had access to a varied and balanced diet. Where required, staff monitored people’s weights and worked with healthcare professionals to make sure people received medical attention when needed.
People and staff spoke positively about the registered manager. They felt able to raise concerns and were confident these would be addressed. Staff told us they were well supported by the registered manager and management team.
Checks of safety and quality were carried out to ensure people were protected from harm. Work took place to support the continuous improvement of the service and the registered manager was keen to make changes that would impact positively on people's lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 6 July 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.