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Farndale House Care and Support Services Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 11 March 2020

About the service

Farndale House Care and Support Service is a domiciliary care agency providing care and support to children and adults diagnosed with learning disabilities, autistic spectrum disorders, dementia related conditions, and physical disabilities living in their own homes.

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, there were 12 people living in local towns and villages receiving personal care.

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 received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

People's experience of using this service and what we found

A positive culture was firmly established within the agency. This meant people were supported by exceptionally responsive and attentive staff that knew them well and helped them to achieve their potential.

Care was bespoke to the individual and delivered by committed staff. Without exception feedback was extremely complimentary about the dedicated nature and approach of the staff and management team.

Support was highly flexible and personalised, adjusting to people's changing needs. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The leadership of the service continued to be outstanding. The provider, supported by their assistant manager, had established a person-centred culture amongst the staff team, that consistently delivered high quality care. Staff and the management team were passionate and motivated about their roles and understood their responsibilities. They actively engaged and included people, their relatives and professionals in the ongoing delivery of their care and support. This resulted in positive outcomes for people.

There were policies and systems in place to support the safe administration of medicines. Where people required support with their dietary needs and health, this was done safely and effectively. Infection control processes protected people from the risks of cross infection.

Staff understood their responsibilities to report any concerns of abuse or harm. Risks to people were assessed and there were plans in place to support staff to manage risks.

There continued to be enough staff safely recruited, trained and supported appropriately in their roles to care and meet people's 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. Staff empowered people to make informed decisions and enabled them to maintain control and achieve their goals and independence.

People's rights to privacy, dignity and independence were promoted and respected.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

Since our last inspection, the service has continued to improve. Effe

Inspection areas

Safe

Good

Updated 11 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 11 March 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 11 March 2020

The service was exceptionally well-led.

Details are in our well-led findings below.