About the service
4 Futures provides care and support for people with a learning disability or autistic spectrum disorder, younger adults and older people. The service provides care and support to people living in a 'supported living' setting; the people receiving support at the time of inspection lived in one four-bedroom house.
Not everyone who used the service received personal care. 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, the service was supporting four people, however only three people received support with 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 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.
People were cared for safely. Risk assessments were in place and reviewed regularly and as people’s needs changed. Staff understood safeguarding procedures. There were safe procedures in place for the administration of medicines and people received their medicines as prescribed.
Pre-employment checks were carried out to ensure that only suitable staff were employed. There were enough staff to meet people’s care needs.
People made decisions about their daily routines and these were respected by staff. 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.
People were supported to access health care services when needed. People received the support they needed to meet their nutritional needs.
People’s care records contained clear information covering all aspects of their support needs. Staff had a good understanding of people’s wishes and individual preferences. People’s personal histories, preferences and dislikes and diversity needs such as cultural or religious needs were considered within the care plans.
Staff received the training required to meet people’s needs. Staff enjoyed working at the service and there was good communication and team work. Staff were caring in their approach and people were treated with respect. Staff maintained people’s dignity and promoted their independence.
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. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The registered manager was also the provider. They were involved in all aspects of the running of the service and had suitable processes in place to monitor and develop the safety and quality of the service.
The provider worked in an open and transparent way and was keen to develop and improve the service. People knew how to make a complaint if they were not satisfied with the service received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 3 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.