Enable Care And Support Limited

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.This is the first assessment for this newly registered service. This key question has been rated good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The registered manager and the staff team treated people with kindness, empathy and compassion and respected their privacy and dignity. If people had families, they were supported to be involved in people’s lives according to people’s wishes.People told us they were happy with the way staff supported them. Throughout our visits to people’s homes, we observed appropriate interactions between the staff and people. Staff were kind, patient, polite and caring while completing various activities with people and they responded well to staff’s support. This demonstrated people had established good relationships with staff.People’s privacy and dignity was respected. When required, staff supported people by closing the doors to give them privacy. We also observed staff treated each other respectfully and supported each other to carry out various tasks. Staff were helpful in answering our queries and the team supported and looked after each other, so they could work together to make positive changes. Staff delivered care and support that was caring and person-centred and which had a positive effect on people and their outcomes.

The registered manager and staff understood how to treat people as individuals and to make sure the care, support and treatment met their needs and preferences. Staff understood how to treat people as individuals, considering any of their personal, cultural, social and religious needs so they could support the person the way they preferred. Staff demonstrated they knew specific needs of people, offering choices and giving time to respond. The registered manager encouraged a positive and appropriate approach to people and their diverse needs. They noted how they gathered all the detailed information about people such as their abilities, aspirations, and unique backgrounds to ensure care and support would be tailored to their needs.One professional added, “Staff are consistently kind, patient, and respectful in their interactions. They promote dignity, individuality, and emotional wellbeing. I have noted that [people] are encouraged to express their views and are supported to make choices about their daily living and longer-term plans. The service demonstrates genuine commitment to understanding the personal histories and preferences of those they support, which contributes greatly to relational stability and trust.”

The registered manager and the staff promoted people’s independence, so they would know their rights and had choice and control over their own care, treatment and wellbeing.People’s choices were respected and met, and staff encouraged them to remain independent and be in control of the care they received as much as possible. The registered manager told us they would gather information about people and what they wanted to do so they could be supported with it. Staff encouraged positive risk taking for people to be as independent as possible. The goal was to help people be able to live as independently as they wished.Staff supported people to be fully involved with their care, promoting independence whenever possible. Staff supported people with daily tasks and their care providing guidance as and when needed.

People and their relatives were supported and encouraged to express their views about care and support provided. The registered manager and the staff listened to and understood people’s needs, views and wishes. They worked together to ensure this was a priority so staff were able to anticipate any changes. The registered manager told us that one of the key elements in staff was compassion towards people. Staff considered and responded to people’s needs accordingly and acted to minimise any discomfort, concern or distress. The registered manager encouraged staff to consider the people’s individual needs to provide what they needed and seek timely help if their health or wellbeing deteriorated. We observed staff were patient and supportive when people needed some assistance. This demonstrated people and staff had established relationships which supported better outcomes for people.One professional said, “Yes, I have experienced that the provider has sought appropriate advice and support from different agencies when required and liaises well with the multi-disciplinary team.”

The provider and the registered manager cared about and promoted the wellbeing of their staff. They supported and enabled staff to always deliver person-centred care.The registered manager told us how they communicated and encouraged staff to share any feedback to ensure staff were included and were able to contribute to the service. The registered manager wanted to ensure staff felt supported and appreciated. They said, “Our staff are the greatest assets.”The staff were positive about working at the service and they felt the registered manager and other senior staff were accessible, open, and supportive. Staff said, “I feel really supported by the managers, they listen, and I feel they take action” and “I think the service is proactive and we have good communication.”A few staff noted more could be done when managing communications and relations with some parties they worked with as it could affect staff’s wellbeing. They added that the management team were supportive in recognising how stressful the care work could be. People and professionals agreed staff were happy and they worked well together. One professional said, “The management also appear to value their staff team—there is a sense of mutual respect, and staff feel empowered to contribute ideas about improving practice.”