Fiorano

Fiorano is a residential care home for younger men with learning disabilities or autism. This report from the Care Quality Commission (CQC) reflects the findings from an inspection conducted on 29 October 2019. The service is designed around principles that promote choice, control, and independence for residents, aiming to help them live as full a life as possible. The inspection found that the service continues to meet high standards across all areas assessed.

On safety, the home has effective systems to protect residents from harm, with staff well-trained to report concerns. Residents and their families feel safe and trust the staff. Risks are assessed and managed, with detailed analysis of incidents to prevent recurrence. Staffing levels are sufficient to ensure timely care, and recruitment processes are robust. Medication is managed safely, and infection control measures are well-maintained, with the premises consistently clean.

In terms of how effective the care is, residents' needs are assessed thoroughly, and care plans are detailed, regularly reviewed, and involve family input. Staff receive specialist training, including in managing challenging behaviours, and benefit from multi-disciplinary learning. Residents are supported to maintain a healthy diet, with good food choices available and support for independence in meal preparation. Staff collaborate effectively with healthcare professionals to ensure residents' health needs are met, and the purpose-designed environment supports residents' needs, promoting personalisation and access to communal and outdoor spaces.

Regarding caring practices, staff demonstrate kindness and compassion, treating residents with dignity and respect. Relationships between staff and residents are positive, and staff actively support residents in maintaining links with their friends and families. Residents are involved in decisions about their daily lives, and their privacy and independence are respected through initiatives like 'Active Support' which encourages participation in daily activities.

When considering responsiveness, care is personalised to meet individual needs and preferences, with detailed care plans that are regularly reviewed. Communication needs are met through symbol-based languages and pictorial signs, with staff taking time to communicate clearly and ensure understanding. Residents' families and professionals are involved in reviews, ensuring care remains appropriate and promotes positive outcomes.

Finally, on being well-led, the registered manager provides visible and approachable leadership, fostering motivated staff and strong teamwork. Information from audits and quality checks is used to drive continuous improvement in the service provided. The home has a clear complaints system, and relatives feel confident raising concerns, which are addressed promptly.