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

Inspection Summary


Overall summary & rating

Outstanding

Updated 3 August 2016

The inspection took place on 14 and 16 June 2016 and was announced.

Egalité Care Limited provides care and support to people living in their own home, supported living accommodation or their family home. People using the service include people with learning disabilities and/or physical disabilities. At the time of our inspection, approximately 65 people were supported by the service.

A registered manager was in post. 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 were supported by exceptionally kind and caring staff who went beyond the responsibilities of their job role to ensure that people led meaningful lives. Staff took time to engage with people, providing reassurance and support in a way that built up people’s confidence and self-esteem to pursue interests and hobbies that were important to them. Friendships were inclusive, supportive and empowering. The provider was in the process of re-evaluating the care plans and formatting the information in a more accessible way, to enable people to have a greater understanding and involvement in their care. Staff and people treated each other with dignity and respect and people had the privacy they needed.

There was a strong emphasis on person-centred and inclusive care that empowered people to be as independent as possible and achieve their full potential. All staff adhered to the principles set out in the provider’s Statement of Purpose and demonstrated these in practice. People’s feedback was gathered through their responses to a series of multi-choice questions. Staff views were also important to the provider. The management team had acted on the results of the surveys and put in place additional employee benefits for staff. Staff told us they felt valued and were part of the ‘Egalité family’. They were treated as equals and staff, including management, worked alongside each other as a team.

Care was of high quality and commendations and compliments from professionals and relatives were recorded and demonstrated this. The service had fostered excellent relationships with people, their relatives and worked in partnership with other agencies in the community. People spoke highly about the staff and the care provided by Egalité Care. A robust system of audits was in place to measure and monitor the service overall to ensure a high quality of care was delivered continuously. Ways to improve an already exceptional service were strived for.

Staff had received training in all essential areas as part of their induction and this was refreshed as needed. New staff followed the Care Certificate, a universally recognised qualification and checks were made on their suitability to work in care before they commenced employment. Additional training was organised for staff based on people’s particular care needs. The management took great care to match staff with people they were supporting which provided a firm foundation on which positive, caring, friendly relationships could be developed. Staff were supported by management to pursue additional qualifications if they wished. Supervision and staff meetings took place and staff felt supported by management. They felt their views were listened to and they were encouraged to contribute their ideas on how the service could develop and improve.

People were protected from potential abuse and harm by sufficient numbers of trained staff who helped to keep them safe. Risks were identified and assessed and managed appropriately. Medicines were managed safely and where errors had occurred, these were investigated and acted upon promptly. Staff competency to administer medicines was undertaken every six months and their training renewed annually.

People were involved and encouraged in all aspects of their care. Staff had a good understanding of the legislation under the Mental Capacity Act 2005 and put this into practice. People were encouraged to maintain a healthy lifestyle in their diets and had access to a range of healthcare professionals and services. Care was person-centred and responsive to people’s needs; they were encouraged to be as independent as possible. Complaints were managed appropriately.

Inspection areas

Safe

Good

Updated 3 August 2016

The service was safe.

People were protected from abuse by trained staff who understood how to recognise the signs of potential abuse and knew what action to take. People’s risks were identified, assessed and managed appropriately.

Staffing levels were sufficient to meet people’s needs and medicines were managed safely. Safe recruitment practices were in place.

Effective

Good

Updated 3 August 2016

The service was effective.

People were supported by trained staff who received regular supervision and attended team meetings.

Consent to care and treatment was sought in line with legislation and guidance. Staff understood the requirements of the Mental Capacity Act (MCA) 2005 and put this into practice.

People were supported to have sufficient to eat and drink and to maintain a healthy lifestyle. They were supported by a range of healthcare professionals and services.

Caring

Outstanding

Updated 3 August 2016

The service was outstanding in ensuring people were cared for in a personalised way by warm, compassionate and friendly staff.

People’s preferences and wishes to engage them in a meaningful life had been explored and were acted upon. They were encouraged to pursue their interests and hobbies and to be as independent as possible.

People were encouraged to express their views and to be involved in decisions about their care. There were plans to transfer information about people’s care needs into an accessible format, such as a talking book, so that people could understand what had been written about them.

Staff went the extra mile in the way they supported people, giving their time freely and enthusiastically.

People were treated with dignity and respect and had the privacy they needed.

Responsive

Good

Updated 3 August 2016

The service was responsive.

Staff delivered care to people in a person-centred way that was responsive to their needs. Care plans provided comprehensive information about people and how they wished to be supported at home and in the community.

Complaints were managed in line with the provider’s complaints policy.

Well-led

Outstanding

Updated 3 August 2016

The service was extremely well led. The culture of the service was positive, person-centred, inclusive and forward thinking. Feedback from staff, professionals, people and their relatives demonstrated this was an outstanding service.

The management team were approachable and staff felt they were listened to. Issues were addressed and conditions of employment were designed to encourage and retain staff who were happy in their roles.

Robust systems ensured that high quality care was delivered overall. Where concerns were identified, action was taken to deal with these to ensure the quality of the service was not compromised overall.

The management team worked pro-actively with other professionals in the community to drive improvement both internally and externally. A local country centre spoke highly of the service and the flexibility of staff who supported people.