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St Cuthberts Care Supported Living Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 9 October 2018

This inspection took place from 26 July to 8 August 2018. We gave the provider short notice of our inspection due to the nature of the service. This was so the registered manager could be available to assist us with our inspection.

This service provides care and support to 27 people living in various ‘supported living’ settings, which means that they can live in their own home as independently as possible. All of the people supported are living with either a learning disability and Autism Spectrum Disorders. 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.

The service had a manager who has been registered with CQC since May 2016. A registered manager is a person who has registered with CQC to manage the service. Like 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.

We last inspected the service in October 2015 and rated the service as Good overall. Since then we found that the provider and registered manager had closely considered the service and determined areas that they could develop further. We found that they had constantly challenged themselves and staff to develop a continuous improvement cycle so all worked to make sure people achieved the best possible outcomes.

We found the provider had instilled a positive culture within the service which meant people were given every opportunity to develop their skills and were supported through challenging situations. The provider aimed to go the extra mile to support people to engage fully with the community and lead ordinary lives, we saw copious amounts of evidence confirming this was the case. Staff were supporting people to lead lives that were enriched and full of opportunities. These experiences enhance their and other people's lives and shared the same values and principles, as the provider. For instance, people were encouraged and supported to be volunteers at the Alan Shearer Centre, which is a specialist recreational, sensory and social resource for disabled people of all ages. One person had been given an award by the Alan Shearer foundation for their services to the public, which was usually awarded to celebrities.

Staff were totally committed to delivering a service which improved the lives of the people who use the service in fulfilling and creative ways. Their drive and passion had created an exceptionally dynamic and vibrant service. Staff focused fully on the goals and aspirations of the people who used it. People told us the service provided care and support that was exceptional. They discussed how staff had supported them to develop their independent living skills and lead ordinary lives. The service was proactive in providing people with a range of information to assist them to make decisions about their health and wellbeing. Staff actively supported people to engage in community activities and seek meaningful occupation. Some of the people told us how staff had actively supported them to find paid and voluntary work.

The service's visions and values promoted people's rights to make choices and live a dignified and fulfilled life. This was reflected in the care and support that people received. People were supported to be as independent as possible and could access advocacy services if needed. Procedures were in place to investigate and respond to complaints.

We saw that staff were recruited safely and were given appropriate training before they commenced employment. Staff told us they received regular supervision and annual appraisals. Staff were respected within the organisation and were provided with a comprehensive range of training. We found staff were consistently striving for excellence and the provider su

Inspection areas

Safe

Good

Updated 9 October 2018

The service was safe.

Staff recognised signs of potential abuse and reported any concerns regarding the safety of people to senior staff. Staff considered the least restrictive option to reduce risks to people.

There were sufficient skilled and experienced staff to meet people�s needs. Robust recruitment procedures were in place. Appropriate checks were undertaken before staff started work.

People�s medicines were managed safely and audited regularly. People lived in a clean and well-maintained service with environmental risks managed appropriately.

Effective

Good

Updated 9 October 2018

The service was effective.

Staff were appropriately trained and had an exceptionally good knowledge of how to meet people�s individual needs. People were referred to healthcare professionals promptly when needed.

Staff understood the principles of the Mental Capacity Act 2005 and acted in accordance with the legal requirements. People were only provided with care when they had consented to it.

People were supported to eat and drink sufficient amounts to meet their needs and were provided with a choice of suitable food and drink.

Caring

Good

Updated 9 October 2018

This service was caring.

People were well cared for. People were consistently complimentary of staff and the support they provided. People were treated with respect and their independence, privacy and dignity were promoted.

Staff interacted with people in a way which was particularly knowledgeable, kind, compassionate and caring. Staff took time to speak with people and to engage positively with them.

People were consistently involved in conversations and reviews about their own care and contributed to making decisions with the help and support of staff and other professionals.

Responsive

Outstanding

Updated 9 October 2018

The service was extremely responsive.

Care records were detailed and assisted staff to identify how to work well with people.

Staff were exceptionally sensitive to people�s needs and looked for innovative ways to resolve any issues.

People had been supported to gain employment, move to independent living settings and engage with the wider community. There was a complaints procedure in place. Feedback systems were in place such as meetings and surveys to obtain the views of people.

Well-led

Outstanding

Updated 9 October 2018

The service was extremely well run.

The registered manager was effective at ensuring staff delivered services of a high standard. We found that they were very conscientious and critically reviewed all aspects of the service then took timely action to make any necessary changes.

Staff told us they found the registered manager and provider were very supportive and felt able to have open and transparent discussions with them through one-to-one meetings and staff meetings.

There were very effective systems in place to monitor and improve the quality of the service provided. Staff and the people we spoke with told us that the service had an open, inclusive and positive culture.