Background to this inspection
Updated
29 March 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for
the service under the Health and Social Care Act 2008.
Inspection Team
The inspection was carried out by 1 inspector.
Service and service type
New House Farm is a 'care home' without nursing. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with CQC to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced on both days.
What we did before the inspection
We used information the provider sent us in the Provider Information Return This is information we ask providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service including incidents the provider must notify us about, such as allegations of abuse. We used this information to help plan our inspection.
During the inspection
We spoke with 2 people who lived in the service and the relatives of 4 young people. We received feedback from 12 staff who completed questionnaires. We spoke with the registered manager, assistant manager, 4 support staff and the housekeeper. We reviewed the care records of 4 young people. We reviewed recruitment records for 2 staff and maintenance and health and safety records.
Updated
29 March 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
New House Farm provides personal care and accommodation for up to 7 young people with a learning disability and/or autism. In one large, adapted property. All bedrooms are ensuite. There are a variety of communal areas inside the home and large secure gardens. At the time of our inspection there were 7 young people living in the home.
People's experience of using this service and what we found
Right Support
People were supported to have meaningful lives because staff ensured they had access to a broad range of experiences and activities both within the home and in the community. People's abilities and talents were encouraged by staff who were committed to understanding how best to promote independence.
Right Care
People were supported by talented and caring staff who promoted their dignity and respect. Care records reflected detailed understanding of the person, based on observations and learning how to optimise their communication.
Staff understood how to protect people from the risk of avoidable harm and abuse. This included analysing any occasions when a young person had needed to be restrained to keep themselves safe. This helped avoid reoccurence.
Right Culture
High-quality person centred care records helped ensure people's needs and preferences were fully considered and met. Staff were creative and imaginative in their work. The registered manager and management team had clear standards which were understood by staff. Staff felt valued and respected. Staff felt able to share their views and participate in the development of the service.
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.
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 8 January 2018).
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for New House Farm on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.