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Care Services (UK) Limited - 37 Wolseley Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 April 2020

About the service

Care Services (UK) is a residential care home providing personal care to 5 people at the time of the inspection. The service can support up to 5 people, accommodated in one adapted building.

The building is over two floors and is made up of separate bedrooms with en suite facilities.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes.

The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and some areas of independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

Risks were mostly assessed and managed to reduce the risk of avoidable harm, however the risks relating to fire had not been assessed or managed well. The outcomes for people using the service mostly reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. However, promoting independence was an area that could be significantly improved. People we spoke with and relatives told us they felt safe. Staff knew how to identify and report concerns relating to people's safety. People received support to take their medicines safely. There were enough staff to meet people's care and support needs.

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 this practice. Decisions about people's care and treatment were made in line with law and guidance.

Staff encouraged people to maintain a balanced diet and understood people's special dietary needs. People were involved in choosing their own food. The registered manager and staff team worked with external health professionals to ensure people's health and wellbeing were maintained.

Staff were caring in their approach and had good relationships with people. Staff supported people’s independence where possible but did not focus on further promoting peoples independent living skills. Staff had a good understanding of people's individual communication methods and supported people to make their own decisions.

People were supported by a staff team who understood their complex needs and their preferences.

Relatives and external professionals were involved in the assessment and planning of people's care. Relatives knew how to raise a concern if they were unhappy about the service, they or their family member received.

A registered manager was in post. Positive feedback was received in relation to the management of the service. People, relatives and staff had opportunities to feedback about the running of the service. Quality checks were carried out to monitor the service and identified where improvements could be made. We found that in most areas these checks were effective, but had not identified the concerns relating to fire safety.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (Published October 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to premises and equipment at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspect

Inspection areas

Safe

Requires improvement

Updated 16 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 April 2020

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 16 April 2020

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 16 April 2020

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 16 April 2020

The service was not always well led.

Details are in our safe findings below.