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Footsteps Medical Care Limited Good

Inspection Summary

Overall summary & rating


Updated 18 April 2019

About the service:

This service is a residential care home. It provides personal care to adults living with a learning disability, some of whom also have physical disability and/or sensory impairment. The service is known both as ‘The Byre’ or ‘Footsteps’.

This service was registered to support up to five people with learning disabilities and/or autism, physical disability and/or sensory impairment. Five people with complex needs were using the service. The service is an extended bungalow in a residential area and was in keeping with other domestic homes of a similar size in the area. Staff wore regular clothes when supporting people, both at the service and while out in the community.

People’s experience of using this 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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways:

• People’s wishes and preferences were ascertained by staff who understood how to communicate with them effectively and people’s wishes were respected.

• People's support focused on having as many opportunities as possible for them to gain new skills and become more independent.

• People were supported to get out and about, be part of their community, meet others and maintain existing relationships.

We received highly positive feedback about the service and the support people received. The service met the characteristics of ‘Outstanding’ in the key question ‘Is the service Caring?’ and ‘Good’ in all other key questions. A health professional said about people living at Footsteps, “They are out all the time. They do everything”.

• The service was outstandingly caring and demonstrated a strong, visible person-centred culture.

• People were supported by exceptionally caring staff who often “went the extra mile” for them and told us doing this was “a pleasure”.

• People were placed at the centre of the service and benefitted from staff who knew how to communicate with them to ascertain their wishes. People’s relatives were informed, involved and consulted on every level. Relatives told us their views were “listened to”.

• People received exceptionally personalised care and support specific to their needs and preferences. Staff were creative and proactive to ensure people’s needs were met in the community, removing potential barriers to community based activities.

• Risks to people were regularly assessed and the related support plans were followed by staff to keep people safe.

• Safe recruitment practices were followed to protect people from unsuitable staff.

• Staff were knowledgeable about safeguarding and understood provider policies and procedures in this regard. Staff knew when and how to involve external agencies.

• People received appropriate support to take their medicines safely. People’s medicines were reviewed regularly in line with best practice guidelines including STOMP.

• People’s heath related needs and risks, such as epilepsy, were managed in accordance with national guidance and with appropriate support from health care professionals.

• People were encouraged to live healthy lives. They were supported to maintain a healthy weight, eat a balanced diet and exercise regularly.

• People benefitted from a stable staff team who “loved” their role and were happy in their workplace. Staff felt exceptionally well supported and had completed further and specialist training to enable them to suppor

Inspection areas



Updated 18 April 2019

The service was safe.

Details are in our Safe findings below.



Updated 18 April 2019

The service was effective.

Details are in our Effective findings below.



Updated 18 April 2019

The service was exceptionally caring.

Details are in our Caring findings below.



Updated 18 April 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 18 April 2019

The service was well-led.

Details are in our Well-Led findings below.