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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 8 February 2018

This inspection took place on 14 December 2017 and was announced. This was the first inspection of the service since they registered this location with the Care Quality Commission (CQC) in 2016. We have rated the service good.

Care Organiser provides care and support to people living in nine ‘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 care service has 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. At the time of our inspection 41 people were using the service.

There is a Registered Manager at this location. A Registered Manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People’s needs were met by staff; however, the way staffing levels was commissioned needed to improve. Staff underwent a recruitment checks to ensure they were suitable to work with people.

Staff were trained to protect people from abuse. They knew the signs to recognise abuse and the procedure to report any concerns. They also knew how to escalate their concerns to external agencies should it not be addressed internally.

Risks to people were identified and actions put in place to minimise harm and keep people safe. People received their medicines as prescribed and the management of medicines was safe. Records of incidents were maintained and actions put in place to reduce reoccurrences. Lessons learnt were shared with staff. Staff were trained and followed good infection control procedures.

Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People consented to their care before they were delivered.

People’s care needs were assessed and care plans developed on how identified needs would be met. Staff were supported through an induction, supervision, appraisal and training to provide effective support to people. People were supported to meet their dietary and nutritional requirements. Staff supported people to access health and social care services to maintain good health. The service supported people when they moved between services to ensure their needs were met.

People were treated with compassion, kindness and their privacy and dignity was always respected. People had choice about how they wanted their day-to-day care delivered and staff respected their decisions. People were encouraged to maintain their independence as much as possible. The service promoted people’s religious beliefs and culture and supported them to maintain these.

People’s care and support was planned, documented and delivered in a person-centred way. It reflected their choices, preferences, personalities, needs and individuality. People received support from staff to meet their needs and achieve their goals. People were supported to engage in the activities that they enjoyed. People were supported to socialise, learn new skills, and maintain relationships with family. People and their relatives knew how to complain about the service should they need to.

People and their relatives told us they were happy with the service. Staff told us they received the direction and leadership they needed.

The service had a registered manager that complied with their registration requirements. The service carried out various checks to assess the quality of care provided to people. They put action plans in place to improve shortfalls identified. The service worked in partnership with other organisations to improve the service.

Inspection areas

Safe

Good

Updated 8 February 2018

The service was safe. Staff knew the signs to identify abuse and the procedure for reporting their concerns. The registered manager and service managers understood their role to protect people from abuse.

Risks to people were assessed and action plans were in place to minimise harm. Lessons were learned from incidents and accidents.

The service followed safe recruitment practices to employ staff. People received their support the required from staff.

Staff supported people to receive their medicines safely. The service had infection control procedure in place and they supported staff to follow it.

Effective

Good

Updated 8 February 2018

The service was effective. The service assessed people’s needs and delivered care to them in a way that met their needs.

Staff were trained and supported in their roles so they were able to meet people’s needs effectively. Staff supported people to meet their nutritional needs and preferences.

People and their relatives were involved in deciding their care and making day to day decisions about they want. Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005.

Staff supported people to access healthcare services they needed and staff supported them to attend appointments. Staff liaised with other services to meet people’s needs.

Caring

Good

Updated 8 February 2018

The service was caring. People told us that staff were caring and kind towards them. Staff supported people with their emotional needs. Staff treated people with dignity and respect.

Staff involved people in planning their care and offered choices of how they wanted their care delivered.

Responsive

Good

Updated 8 February 2018

The service was responsive. Care delivered to people met their individual needs and requirements.

People were supported to maintain an active lifestyle and do the things they enjoyed. Staff supported people to maintain and practice their cultural and religious beliefs. People were encouraged to be independent.

People knew how to complain about the service and the registered manager responded and addressed complaints in line with the provider’s policy.

Well-led

Good

Updated 8 February 2018

The service was well-led. There was clear management and leadership who gave staff direction and support. The registered manager understood their roles and responsibilities. The registered manager knew to notify CQC of any significant incidents.

There were a range of systems in place to assess and monitor the service provided. The service worked closely with other organisations to improve and develop the service.