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Inspection Summary


Overall summary & rating

Good

Updated 17 January 2020

About the service

Carrick provides care and accommodation for up to five people who have autistic spectrum disorders and/or a learning disability. At the time of the inspection five people were living at the service. One person lived in a self-contained flat, with the remaining four people sharing the main house. Each had their own bedroom and shared a lounge/dining area and small kitchen. The service is part of the Spectrum group who run several similar services throughout Cornwall.

The service has been developed 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 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

People were safe. Staff had received safeguarding training and were aware of processes to follow if they had any concerns. Risk assessments guided staff on how to support people when they were distressed. Staff were able to describe how they kept people safe when there were risks to their health.

There were enough staff to meet people’s needs. Most of the staff team had been in post for a long time and they knew people well. New staff were well supported, they completed an induction and period of shadowing before starting to work independently.

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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People were supported to access the local community and use local facilities.

People received their medicines as prescribed. Staff identified when people might benefit from additional healthcare support and made referrals appropriately. If people required additional support to attend appointments this was organised on their behalf.

Staff were familiar with people’s preferred method of communication and were quick to respond to requests or offer reassurance.

People were involved in light household tasks. The service was based in a rural setting and people enjoyed local walks and using local facilities. Opportunities for meaningful engagement in the service were limited and we have made a recommendation about this in the report.

The service was being overseen by an acting manager at the time of the inspection. The registered manager was working at a different Spectrum location. A meeting with senior management was due to be held to discuss future arrangements for the management of the service.

The acting manager had carried out a whole service audit and identified areas for improvement. An action plan had been developed with timescales for when improvements would be made.

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. (report published 23 June 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 17 January 2020

The service was safe.

Effective

Good

Updated 17 January 2020

The service was effective.

Caring

Good

Updated 17 January 2020

The service was caring.

Responsive

Good

Updated 17 January 2020

The service was responsive.

Well-led

Good

Updated 17 January 2020

The service was well-led.