CFT Care Limited

Updated 13 July 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of an Inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service provides care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of the inspection was unannounced.

Inspection activity started on 26 April 2023 and ended on 1 June 2023. We visited the location’s office/service on 26 April, 4 May, and 1 June 2023.

What we did before inspection

We reviewed information we had received about the service since they registered in November 2021. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We used information gathered as part of a CQC monitoring activity that took place on 28 November 2022. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also met/spoke with 9 staff. This included administrator, core support workers and support workers. With their permission, we visited 8 people living in their homes. We also spoke with 9 people’s relatives to gain their views of the service.

We reviewed a range of records. This included 5 people’s care records, a sample of people’s medicines records, risk assessments and safeguarding investigation reports. We also reviewed 3 staff recruitment records, staff rosters, staff training records and records relating to the quality assurance of the service, including internal and external audits, policies, and minutes of meetings.

Updated 13 July 2023

About the service

CFT Care Limited provides personal care and support to people living in a range of supported living schemes. This included both shared and single accommodation. They can provide a service to people with learning disabilities, autistic people, people with a physical or sensory need and people living with dementia.

At the time of the inspection 43 people were using the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

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 service was able to demonstrate how they were meeting the underpinning principles of ‘Right support, right care, right culture.’

Right Support:

People were encouraged to play an active role in maintaining their own health and wellbeing and supported to have access to specialist health and social care support in the community. Staff knew how people preferred to take their medicines to achieve best possible health outcomes.

Staff supported people to take part in activities and pursue their interests in their local area, for 1 person they said they liked, “Going fishing.” Although the level of support received varied, dependant on the person’s funding and support plan, staff used a flexible, caring approach to ensure people did not become socially isolated.

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. The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative.

Right Care:

Staff promoted people's equality and diversity they had a good understanding of people’s individual communication needs, to ensure their voice was heard. People received kind and compassionate care from motivated staff who protected and respected people’s privacy and dignity. One person’s relative commented, “The level of care and conscientiousness of the staff…couldn’t have chosen better.”

People’s comprehensive support plans provided staff detailed guidance on the level of support they wanted, which was kept under review and updated to meet the person’s changing needs and aspirations.

Staff benefited from having a dedicated training facility and full-time trainer which ensured staff were appropriately skilled to meet people’s needs and keep them safe.

Right Culture:

People’s quality of life was enhanced by the service’s culture of improvement and inclusivity. The provider and management had a strong visible presence within the service and placed people's wishes, needs and rights at the heart of everything they did. One person’s relative told us, " It’s well led, and I have never had to approach the manager. I am absolutely happy with everything.”

The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views. The provider was open and honest about some feedback they had received, and what action they had taken to address it.

Staff told us they enjoyed their work and felt supported by the management who they described as approachable. We observed people at ease with staff, with staff demonstrating the provider’s values, of supporting people to be as independent as possible and have a good quality life.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 22 November 2021, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.