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Inspection Summary


Overall summary & rating

Good

Updated 9 July 2019

About the service

Floshfield is a care home situated in Cleator. It is operated by West House, a charitable organisation that provides care and support to people living in Cumbria with a learning disability or autism. Floshfield is registered to provide personal care to six adults. Accommodation is in single rooms in this dormer bungalow set in it's own grounds.

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

People told us they felt safe and, where they found it difficult to express themselves, they were relaxed in their own home and interacted well with staff. Staff had received suitable training about protecting vulnerable adults. Accidents, incidents, complaints and concerns were responded to appropriately. People told us they had good support from staff. The registered manager kept staffing rosters under review as people's needs changed. People or their relatives were involved in recruitment. New members of staff were specifically selected to work with individuals in the home and had been suitably vetted.

Staff were appropriately inducted, trained and developed to give the best support possible. We met team members who understood people's needs and who had suitable training and experience in their roles. Staff had extensive knowledge of different disorders people were living with and were skilled in working with people's needs.

People saw their GP and health specialists. People were supported to get involved with preparing healthy meals and looking after their health. Staff took the advice of nurses and consultants. The staff team completed assessments of need with health professionals and with the learning disability teams. People were happy with the arrangements for medicines support. Medicines were suitably managed with people having reviews of their medicines on a regular basis.

The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us the staff were caring. We observed kind and patient support being provided. Staff supported people in a respectful way. They made sure confidentiality, privacy and dignity were maintained.

Risk assessments and care plans provided detailed guidance for staff in the home. People in the service, their social workers and relatives, where appropriate, had influenced the content. The registered manager had ensured the plans reflected the person-centred care that was being delivered. People indicated that they enjoyed the activities and outings on offer. Staff could access specialists if people needed communication tools like Makaton or other sign languages. Staff worked with psychologists and psychiatrists when necessary.

The service had a registered manager who dealt with all aspects of the service. He was suitably skilled and experienced to manage the home. He consulted people and their representatives in a number of different ways.

The provider was in the process of analysing quality monitoring reports for all services to complete the new business plan, 'Transforming West House'. There was an action plan for Floshfield to ensure that quality care and services continued to be provided.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rati

Inspection areas

Safe

Good

Updated 9 July 2019

The service remained good.

Details are in our safe findings below.

Effective

Good

Updated 9 July 2019

The service remained good.

Details are in our effective findings below.

Caring

Good

Updated 9 July 2019

The service remained good.

Details are in our caring findings below.

Responsive

Good

Updated 9 July 2019

The service remained good.

Details are in our responsive findings below.

Well-led

Good

Updated 9 July 2019

The service remained good.

Details are in our well-led findings below.