Creative Support - Salford Physical Disabilities Service

Updated 14 December 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. 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 Care Act 2014.

Inspection team

The inspection team consisted of one inspector from the Care Quality Commission (CQC).

Service and service type

This service provides care and support to people living in a number of ‘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.

The service had a manager 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.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was to ensure the registered manager would be available to support the inspection and to allow time for people to be asked if we could complete home visits to speak to them in person. Inspection activity started on 11 November and ended on 13 November.

What we did before the inspection

Prior to the inspection we reviewed information and evidence we already held about the service, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the service. Notifications are details about changes, events or incidents that the provider is legally obliged to send to us without delay. We also asked for feedback from the local authority and professionals who worked with the service.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager, locality manager and support workers.

We reviewed a range of records. This included four people’s care records and four people’s medication records. We looked at four staff files in relation to recruitment along with a variety of records relating to the management of the service, including policies and procedures, audits and quality monitoring information.

Updated 14 December 2019

About the service

Creative Support – Salford Physical Disabilities Service provides a 24 hour supported living service for adults with physical disability and other associated complex health needs. Accommodation consists of purpose built bungalows located in two residential streets within Swinton and a converted house. The accommodations are owned and maintained by three different housing providers with Creative Support – Salford Physical Disabilities Service providing the care and support to people who are tenants in these properties. At the time of inspection 13 people were using the service, however only 12 were in receipt of regulated activities and included in the inspection.

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

People were happy with the care and support provided and felt safe and comfortable in staff’s presence. Staff had received training in safeguarding and knew how to identify and report any abusive practice.

Staff received a detailed induction, along with ongoing refresher training to ensure knowledge and skills remained up to date. Supervision and appraisals had also been completed to provide ongoing support.

People received personalised care which met their needs and wishes. People had been involved in the completion of care files and in providing guidance to staff about how they wanted to be supported. The service supported people to set and achieve goals and review their support each month.

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.

Staff were described as being kind and considerate, and actively listened to people and what they wanted. Staff also treated people with dignity and respected their wishes.

The complaints process had been provided in an accessible way, to ensure people knew how to complain. Where complaints had been made, we noted these had been resolved timely.

The service used a range of systems to monitor the quality and effectiveness of the care and support provided. Action plans had been generated to address any issues.

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 was good (report published May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.