About the service Future Home Care Limited Nottinghamshire North supports people with a learning and/or physical disability in 10 supported living 'services' across Nottinghamshire . At the time of the inspection there were 21 people using the service.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of key questions ‘safe, effective’ and ‘well-led’ the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. 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.
People’s experience of using this service and what we found
Improvements had been made to the way the provider managed the service. The registered manager now had less ‘services’ to oversee and with the support of service managers, this had seen an overall improvement in the quality of the care provided. Staff were clear about their roles and responsibilities and improved governance procedures had ensured the service was no longer in breach of regulations.
People were protected from the risk of abuse and neglect. Risks to people’s health and safety had been assessed, acted on and support plans amended when those risks changed. There were sufficient staff to support people safely, there was an on-going recruitment campaign to fill vacancies. People’s medicines were managed safely. The registered manager acted quickly to address concerns we had about some records relating to people’s medicines. People were protected from the risk of the spread of infection. The provider acted quickly to reduce the risk of accidents and incidents recurring.
People were supported to receive care; ensuring protected equality characteristics were not seen as barriers to good quality care. Varying methods of communication were used to ensure that people who were unable to verbalise their wishes were not discriminated against. Staff were well trained, and their practice was regularly assessed. People were supported to make healthy meal choices. Staff worked with other health and social care agencies to ensure people received timely care.
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 requires improvement (published 5 August 2019) and there was one breach of the regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 11, 12 and 18 June 2019. A breach was found for the regulation ‘good governance’. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions, ‘Safe, Effective and Well-led. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Future Home Care Limited Nottinghamshire North on our website at www.cqc.org.uk.
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.