Updated 15 February 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection team consisted on the first day of the inspection of one CQC Inspector and one CQC Inspection Manager. On the second day of the inspection the inspection was completed by one CQC Inspector.
Service and service type:
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 disabilities. Lanfranco House is one of three registered locations that make up the FCRT. People at Lanfranco House learn and develop independence and life skills through their interaction with horses.
Lanfranco House is a care home. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a registered manager in post. The previous registered manager had left the service at the end of December 2018, however the provider was in the process of employing a replacement registered manager who was due to commence their employment in February 2019. The provider had ensured there were appropriate staff in place to manage the service in the interim period. A registered manager is a person who has registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
The service had been developed and designed in line with the values that underpin the registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Notice of inspection:
The inspection on day one was unannounced.
What we did:
Before the inspection we reviewed information we held about the service. This included information about incidents the provider had notified us of and contacting health professionals for their views on the service. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what it does well and improvements they plan to make.
During the inspection, we spoke with all of the people living at Lanfranco House, seven members of staff which included the team leader for Lanfranco House, the head of safeguarding and wellbeing, the education systems co-ordinator, the staff training and development co-ordinator, independent living support staff and the maintenance manager. Immediately following the inspection we spoke with three relatives on the telephone and obtained their views on the service Lanfranco House provided. We also received e-mail feedback from a further relative.
We observed how people were supported and to establish the quality of care students received we looked at records relating to their care and support. This included individual care and development plans, treatment and support records and Medicine Administration Records (MARS). We also looked at records relating to the management of the service including; staffing rotas, staff recruitment, supervision and training records, premises maintenance records, training and staff meeting minutes and a range of the providers policies and procedures.