This comprehensive inspection took place on 9,10 and 13 July 2015. The first day was unannounced.
The Fortune Centre of Riding Therapy (FCRT) provides a three year residential Further Education Through Horsemastership Course for 16 to 25 year old people with learning difficulties and disabilities. Students live in a supported environment where they develop greater independence and life skills through the interaction with horses.
Wootton Hall Farm (WHF) is one of three registered sites that make up the FCRT. WHF offers residential and learning support for up to 33 students between the ages of 16 to 25. WHF accommodates mainly first and second year and a small number of third year students in premises located a few miles away from the main FCRT site which is located near Bransgore.
At the time of the inspection there were 18 students living at WHF 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.
Students told us they generally felt safe at WHF, they knew who to speak to if they had any concerns and told us names of staff members they could speak to if they were worried. Parents told us they felt WHF provided a very safe environment and the students were very happy living there. Staff knew how to identify, prevent and report abuse. There was a dedicated member of staff nominated for Safeguarding Adults.
The premises and equipment were well maintained throughout and provided clean, modern accommodation for the students to relax, live and learn in.
Students received personal care and support in an individualised way and their privacy was protected. Staff knew students well and were able to demonstrate a good understanding of how they wished their care to be provided. Students were treated with dignity and respect.
Medicines were administered appropriately, stored securely and managed and disposed of safely.
Student’s 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 student’s health were managed effectively.
Students and their relatives were fully involved in assessing and planning the care and support they received. Students were referred to health care professionals as required.
Improvements to the training system were in the process of being completed to ensure 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.
The manager told us they had recruited a number of new staff within the last year and said they had enough skilled and appropriately trained staff to meet student’s needs. Staff felt well supported by the management team and received supervision sessions and appraisals.
Staff sought consent from students before providing care. Where students lacked mental capacity to make particular decisions about their care, staff were guided by the principles of the Mental Capacity Act 2005 to ensure specific decisions were in the student’s best interest.
Students received personalised care, guidance and support from staff who were responsive to their needs and knew them well. Staff created a happy, friendly, calm atmosphere which resulted in a positive, open culture at WHF.
Student’s and relatives knew how to make a complaint and felt confident they would be listened to if they needed to raise concerns or queries. The provider sought feedback from people and changes were made if required.
People told us they had confidence in the management team and felt the service was well led. Students and relatives spoke positively about the management team and praised the staff stating, “The staff are wonderful, they achieve incredible results” and, “The Fortune Centre is just fantastic in every way”.
There was a process in place to ensure improvements were made in regard to the safety and quality of the service provided. Accidents and incidents were documented and discussed to ensure lessons could be learnt in order to minimise the likelihood of them reoccurring.