Cocklebury Farmhouse

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 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.

The provider had taken action to address all the shortfalls identified at the last inspection. The service now had effective systems to support people following incidents in which people were restrained for their safely. Incidents were clearly recorded and reviewed by managers to ensure any learning from incidents was implemented. The provider had successfully worked to reduce incidents where people were restrained. Water samples were now regularly tested to ensure Legionella was not present in the building.

People were now supported by staff who were competent, skilled and experienced. Staff had received effective training to help them support people. Managers now kept clear records of decision-making processes where people did not have capacity to consent to their care and treatment. Language used in incident reports and care records was now respectful and maintained people’s dignity. Information was now provided for people in formats which were more accessible for them, and staff were skilled in people’s communication methods. Members of the senior management team now demonstrated they had the skills, knowledge and experience to lead effectively. Governance systems were now effective in identifying shortfalls in the service and ensuring improvements were made.

Staffing levels enabled people to access their community. The service had effective systems to manage risks people experienced. People were supported to take their medicines safely. Staff received effective training and support to help them do their job well.

People had support plans which reflected their individual needs. The provider worked with health and social care professionals to ensure people had access to the care they needed. People were supported to identify their wishes for the future and plan out support they needed to achieve their goals. Feedback from professional partners was positive about the way the service worked with them to meet people’s needs.

People knew who the management team were and told us they felt able to raise concerns if needed. Staff said they could raise any concerns with the management team and were confident action would be taken as a result.