31 January 2023
During a routine inspection
About the service
Choice Support Compass House is a supported living service providing personal care to 93 people at the time of the inspection. The service was supporting 206 people but not everyone was supported with the regulated activity of personal care. Our inspection only focused on the 93 people who received personal care and lived in 44 different supported living locations.
People’s experience of using this service and what we found
Right Support:
People had a choice about their living environment and were able to personalise their rooms.
Staff carried out daily living tasks, such as cooking and cleaning, whilst actively supporting people to take part. The registered managers worked with the quality team to promote what activities people could do, so people had fulfilling and meaningful everyday lives. Staff supported people with their medicines in a way they wanted but we found some medicines were not managed well. Staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests.
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.
Right Care:
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. One person told us, “Very good care here.” Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
Right Culture:
Managers did not always support the delivery of high-quality, person-centred care. Quality assurance systems and processes to maintain and develop the safety and quality of care were not always operating effectively; some staff told us they could not access some systems such as electronic system for recording incidents. People and their relatives told us they liked living in their homes, and people were supported to maintain their own tenancies. The provider was aware of and were committed to providing resources to make improvements swiftly. Equality and diversity was respected in the different locations and within the provider’s organisation.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service, under the previous provider, was outstanding (published 7 February 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified breaches in relation to risks and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.