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Inspection Summary

Overall summary & rating


Updated 26 March 2020

About the service

The Farmhouse is a residential care home providing accommodation and care to six people with a learning disability and/or autism at the time of the inspection. The service can support up to eight people.

The Farmhouse is an adapted house situated on a campus style service in rural Lincolnshire. There are several other houses located on the same site and a shared administration office. People living at The Farmhouse have their own room and access to a range of shared facilities. They can also use a range of facilities in the grounds of the complex.

The service follows 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

Staff received supervision and appraisal; however, they were not always up to date with their training requirements. Following the inspection the registered manager took immediate action to expedite the action plan they had in place to address this.

Staff were kind and caring in their approach and people were relaxed and happy in their company. Staff were very knowledgeable about the needs and preferences of the people they supported; they were skilled at interpreting people’s wishes when they were not able to express themselves clearly verbally.

Where people received support with their meals, staff did so effectively and in line with dietary requirements. People had access to ongoing healthcare support and staff liaised effectively with other services to achieve this.

Staff assessed risks to people’s health and safety and had the knowledge to protect people from avoidable harm and abuse. Relatives felt their family members were safe at the service. Safe processes were in place for the management of people’s medicines. Staffing levels were planned to meet people’s care and support needs.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. 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.

Staff were clear about their roles and responsibilities. They felt well supported by the registered manager and the management team. They were committed to improving the service provided and to increasing the involvement of people using the service and independent organisations to obtain feedback and implement improvements.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was Good (published 25 October 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.

Inspection areas



Updated 26 March 2020

The service was safe.

Details are in our safe findings below.


Requires improvement

Updated 26 March 2020

The service was not always effective.

Details are in our effective findings below.



Updated 26 March 2020

The service was caring.

Details are in our caring findings below



Updated 26 March 2020

The service was responsive.

Details are in our responsive findings below.



Updated 26 March 2020

The service was well-led.

Details are in our well-Led findings below.