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A review of one or more of the ratings contained within the inspection report has been carried out at the request of the provider. Further to the review the ratings within this report have changed.

Inspection Summary


Overall summary & rating

Good

Updated 4 June 2019

About the service:

Frogmore Road is a domiciliary care service. It provides care and support to people with learning disabilities or autistic spectrum conditions living in their own flats within one area of Houghton Regis. At the time of the inspection, only four people were being supported with personal care.

People’s experience of using this service:

People’s support focused on them having as many opportunities as possible to gain new skills and become more independent. This supported the principles of ‘Registering the Right Support’ and other best practice guidance. These ensured 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.

People were protected from harm by staff who were confident in recognising and reporting concerns. Potential risks to people’s health and wellbeing were assessed and minimised. There were enough staff to support people safely and to enable them to take part in a range of activities they enjoyed. People were supported to take their medicines. Lessons had been learned from incidents to prevent recurrence. Staff followed effective processes to prevent the spread of infection.

Staff had the right skills to meet people's needs effectively. Staff were well supported and had information to meet people’s assessed needs. Staff supported people to have enough to eat and drink, and to access healthcare services when required. This helped people to maintain their health and well-being.

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 were fully involved in making decisions about their care and support. People were involved in planning and reviewing care plans. Staff supported people in a way that respected and promoted their privacy and dignity, and encouraged them to be as independent as possible.

People were happy with how staff supported them to meet their individual needs. They said this had been done in a kind and person-centred way. Complaints were managed well and there was learning from these to reduce the risk of recurrence. The service did not currently provide end of life care, but they had started including relevant information in people’s care plans.

Audits and quality monitoring checks were carried out regularly to continually improve the service. The provider had systems to enable people, relatives and staff to provide feedback about the service. People's experiences of the service were positive. Staff felt fully involved in ensuring the service met its regulatory requirements.

Rating at last inspection:

At the last inspection, the service was rated Good (report was published in October 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor all information we receive about the service and schedule the next inspection accordingly.

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

Inspection areas

Safe

Good

Updated 4 June 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 4 June 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 4 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 4 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 4 June 2019

The service was well-led.

Details are in our Well-led findings below.