Crest Care Solutions Ltd

In supported living services people's care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people's personal care and support.

Not everyone using Crest Care Solutions Limited receives a regulated activity. The service supports other people who do not receive personal care. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account 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.

Staff understood and effectively delivered care and support in accordance with the principles and values of Registering the Right Support and other best practice guidance. This ensured that people who used the service lived as full a life as possible and achieved successful outcomes.

Right Support:

People experienced good quality care with good outcomes. There were enough staff with the right mix of skills and experience to meet autistic people's care and support needs.

Staff had completed required training to support autistic people, those living with learning disabilities, mental health needs and other associated complex needs, including epilepsy.

Staff had been recruited safely, which meant the provider could be assured they were suitable to work with people made vulnerable by their age, autism, learning disability or mental health needs.

Staff had training in safeguarding and knew how to report any concerns. People's risks were clearly assessed, and clear guidance given to staff to minimise and manage risks safely. People were supported to manage and take their medicines safely and on time.

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 least restrictive practice.

Right Culture:

The ethos, values, attitudes and behaviours of the registered manager and care manager ensured people led confident, inclusive and empowered lives. The provider promoted a positive culture within the service that was person-centred and achieved good outcomes for people.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity. People, relatives and staff told us they felt valued and listened to by the registered manager and staff. The registered manager assessed and monitored the quality of the service and effectively operated systems and processes to ensure compliance with the regulations. This meant the provider assured that required learning and improvements had been identified and implemented.

Right Care:

People experienced personalised care which promoted their dignity, privacy and human rights. People and relatives were supported to express their views and be involved in making decisions about their care.

The registered manager and care manager made sure that staffing was organised so that people received care and support from familiar staff. People and relatives told us they experienced good continuity and consistency of staff, who understood how they wished their privacy and dignity to be maintained. This resulted in people feeling they were respected and valued.

Staff had the required skills and time to recognise when and how to give people compassionate support when they needed it. Staff supported people to make choices for themselves and promoted their independence.

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 6 May 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.