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Inspection Summary


Overall summary & rating

Good

Updated 8 February 2018

We carried out an unannounced comprehensive inspection at Farm Lane on 5 and 6 December 2017.

Farm Lane is a Residential Care Home providing care and support to people with a learning and physical disability. Most of the people who lived at Farm Lane had complex health and care needs. Support for people’s health needs were sought from local primary care services, such as district nursing and specialist learning disability professionals including occupational and speech and language therapists. The service is registered to provide personal care and accommodation for up to nine people. On the days of our inspection nine people were living at the care home.

Mencap is the registered provider for Farm Lane House. Mencap is a National Charity providing a range of care service throughout the country. Farm Lane House is purpose built with all facilities provided on one level.

At the time of the inspection the manager was in the process of registering with the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered person’s’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run. Following the inspection we were informed the manager had successfully registered with CQC as the registered manager for Farm Lane House.

At the last inspection the service was rated as Good. At this inspection we found the service remained Good.

The service continued to provide care, which protected people and kept them safe. This was because staff understood about how to identify and report any incidents of abuse and/or poor practice. Management and staff undertook relevant training and had information about locally agreed safeguarding protocols.

People’s risks in relation to their health and lifestyle were understood by staff and managed appropriately. People lived in an environment, which the provider had assessed to ensure it was safe. People were protected by the provider’s infection control procedures, which helped to maintain a clean and hygienic service.

People received their medicines safely, by staff who had been trained appropriately and had their competency regularly tested. Overall medicines were stored safely. However, some excess medicines required safer storage. This was raised with the registered manager and provider and action was being taken to rectify this.

People continued to receive care that was effective and met their needs. This was because staff received appropriate training and were supported by colleagues and management to undertake their role effectively. People’s human rights were protected because the registered manager and staff had an understanding of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards.

People received an organised and co-ordinated approach to their health and social care needs. People had access to external healthcare professionals to ensure their on-going health and well-being. Healthcare professionals spoke positively about the care people received at Farm Lane particularly in relation to their dietary risks and end of life care. People’s risks and needs in relation to eating and diet were understood and met by staff.

People and their relatives told us staff were caring and kind. Staff demonstrated kindness and compassion for people through their conversations and interactions. People’s privacy and dignity was promoted and respected.

People received personalised and responsive care. People’s individual and diverse needs were understood and met. People were supported in a way they chose and preferred and support plans were reviewed regularly to help ensure they were up to date and appropriate.

People had opportunities to lead as full and active a lifestyle as possible. Relatives were welcomed into the home and were involved in discussions about their loved ones care arrangements. People were supported to access community events and had opportunities to meet with friends and others outside of the place they lived.

The service was well led by the registered manager and provider and supported by a dedicated team. There were quality assurance systems in place to help assess the on-going quality of the service, and to help identify any areas which might require improvement. Complaints and incidents were learned from to ensure improvement. The registered manager and provider promoted the ethos of honesty and admitted when things had gone wrong. The service kept abreast of changes to maintain quality care.

Inspection areas

Safe

Good

Updated 8 February 2018

The service remains safe.

Effective

Good

Updated 8 February 2018

The service remains effective.

Caring

Good

Updated 8 February 2018

The service remains caring.

Responsive

Good

Updated 8 February 2018

The service remains responsive.

Well-led

Good

Updated 8 February 2018

The service remains well –led.