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Autism Wessex-Community Support Service West Good

We are carrying out a review of quality at Autism Wessex-Community Support Service West. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 18 May 2018

This inspection took place on 23 and 26 March 2018 and was announced. The inspection was undertaken by two inspectors.

This service provides care and support to people living in their own homes and in one 'supported living' setting. 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. There were seven people being supported by this service at the time of the inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support CQC policy and other best practice guidance. These values include choice, promotion of independence and inclusion.

Not everyone using Autism Wessex-Community Support Service West service received the regulated activity 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.

There was a registered manager in place. 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.

We last inspected Autism Wessex-Community Support Service West in December 2016. At that Inspection the service was rated overall requires improvement with a rating of good in caring and responsive. This included improvements to the arrangement for the safe administration of medicines, the assessment of people’s mental capacity, how the management of risks were documented and the approach to oversight and governance. At this inspection we found that improvements had been made and the service was now good in all areas.

People were safe. Staff understood their roles and responsibilities to safeguard people from the risk of harm and risks to people were assessed and monitored regularly.

Staffing levels ensured that people's care and support needs were continued to be met safely and safe recruitment processes continued to be in place.

Staff understood the Mental Capacity Act 2005 and how to support people's best interest if they lacked capacity. However assessments were not recorded.

People's needs and choices continued to be assessed and their care provided in line with up to date guidance and best practice. People received care from staff that had received training and support to carry out their roles.

Risks continued to be assessed and recorded by staff to protect people. There were systems in place to monitor incidents and accidents. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service.

Staff understood how to prevent and manage behaviours that the service may find challenging.

Staff continued to support people to book and attend appointments with healthcare professionals, and supported them to maintain a healthy lifestyle. The service worked with other organisations to ensure that people received coordinated and person-centred care and support.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines were suitable for the people who used the service.

Staff were caring and compassionate. People were treated with dignity and respect and staff ensured their privacy was maintained. People were encouraged to make decisions about how their care was provided.

Staff had a good understanding of people's needs and preferences.

People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement.

Quality assurance audits were carried out to identify any shortfall

Inspection areas

Safe

Good

Updated 18 May 2018

The service was safe

People's relatives told us they had no concerns about the care and support they received from staff.

People’s identified risks were managed and staff understood their responsibilities to report any concerns to keep people safe .

People were supported to take their medicines safely.

There were sufficient numbers of suitable staff to meet people's needs.

Staff were checked before they started work to make sure they were suitable to work in this service.

Effective

Good

Updated 18 May 2018

The service was effective.

Staff received training to ensure they could carry out their roles effectively. Supervision processes were in place to enable staff to receive feedback on their performance and identify further training needs.

Staff demonstrated a good understanding of The Mental Capacity Act 2005 and people's capacity to make decisions was assessed.

People accessed the services of healthcare professionals as appropriate.

Caring

Good

Updated 18 May 2018

The service was caring.

Care was provided with kindness and compassion by staff who treated people with respect and dignity.

The staff approach and values of the service was focused on people's individual strengths and abilities

Staff communicated with people in accessible ways.

Responsive

Good

Updated 18 May 2018

The service was responsive to people and their needs.

Staff understood people's ways of communicating and responded to their verbal and non-verbal communication and gestures.

People were supported to pursue activities and interests that were important to them.

People and their relatives knew how to complain or raise concerns about their care.

Well-led

Good

Updated 18 May 2018

The service was well led.

The registered manager promoted an open and person centred culture.

Staff told us they felt they were well supported by their line managers who were very approachable and supportive.

There were systems in place to monitor and improve the health and safety and quality of the service provided.

The service worked in partnership with a wide range of health and social care professionals to help ensure that people received

the support, care and treatment they needed to meet their needs and achieve positive outcomes.