About the service:

• Lanfranco House offers residential and learning support for up to seven people who are known throughout the Fortune Centre of Riding Therapy as ‘Associates’. Associates are provided with accommodation, care and support to encourage independent living and key life skills. At the time of the inspection there were seven people living at Lanfranco House.

People’s experience of using this service:

• All the people we spoke with told us they felt safe living at Lanfranco House. Relatives told us they found Lanfranco House provided a safe place for their son or daughter to live and had no concerns.

• People had individual risk assessments completed which ensured they were supported to live their lives as independently as possible while minimising any identified risks.

• People received care and support in an individualised way, which was planned and delivered to meet their needs.

• Lanfranco House was staffed with sufficient levels of trained staff who were themselves supported with a system of regular supervision and annual appraisals. Staff felt well supported and felt the training they received was well delivered, beneficial and pitched at the correct level.

• People’s medicines were being managed safely, stored securely and administered by trained staff.

• We have made a recommendation regarding the safe storage of medicines.

• People and their relatives were fully involved in assessing and planning the care and support they received. People were referred to health care professionals as required.

• People led active lives and were supported to maintain and increase their independence. People’s privacy was protected and they were treated with dignity and respect.

• People and relatives knew how to make a complaint and felt confident they would be listened to if they needed to raise any concerns.

• People and relatives expressed confidence in the management team and felt the service was well led.

• More information in Detailed Findings below.

Rating at last inspection: Good (The date the last report was published was 23 August 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains rated as Good overall.

Follow up: We will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated as Good.

This comprehensive inspection took place on 29, 30 June and 1 July 2016. The first day was unannounced. Lanfranco House offers residential and learning support for up to seven people who are known throughout the Fortune Centre of Riding Therapy as ‘Associates’. Associates are provided with accommodation, care and support to encourage independent living and key life skills.

At the time of the inspection there were seven people living at Lanfranco House and a registered manager was in position. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People we spoke with said they felt safe and staff had received training in safeguarding adults. Staff were safely recruited to make sure they were suitable to work with vulnerable adults.

Lanfranco House provided clean, modern accommodation for people to relax and live in and the premises were well maintained. The premises had recently been re-furbished with new double glazed windows and flooring throughout.

People received personal care and support in an individualised way and their privacy was protected. People led active lives and staff told us about how they supported people to make sure they received their care and support how they wished. People were treated with dignity and respect.

People needs were rigorously assessed and care, support and guidance was planned and delivered to meet their needs. Records showed an assessment of need had been carried out to ensure risks to people’s health were managed effectively.

People and their relatives were fully involved in assessing and planning the care and support they received. People were referred to health care professionals as required.

Medicines were handled appropriately and consistently, stored securely and managed and disposed of safely.

Improvements to the training system had been implemented and staff received relevant training courses and refresher training as required. Staff were knowledgeable about their role and spoke positively regarding the induction and training they received.

Staff felt well supported by the management team and received regular supervision sessions and appraisals.

People and relatives knew how to make a complaint and felt confident they would be listened to if they needed to raise concerns or queries.

People told us they had confidence in the management team and felt the service was well led. People and relatives spoke positively about the management team and staff.

There was a process in place to ensure improvements were made in regard to the safety and quality of the service provided.