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Inspection Summary

Overall summary & rating


Updated 13 August 2019

About the service: Natural Breaks is an organisation which provides support services to people with a range of needs such as a learning disability, mental health needs, physical disability or an acquired brain injury. The service has two strands offering both a domiciliary care service to people living in their own home and support for people to access social and leisure activities within their local community. At the time of the inspection 29 people were being supported with personal care.

People’s experience of using this service: People were positive about the care and support they received from Natural Breaks.

People received medicine when they should, and medicines were stored safely in people’s homes. There were some issues with one person's MAR chart as these had not always been completed appropriately in line with national guidance. However, the provider had processes in place that had identified these issues and the registered manager had taken appropriate action.

We found the service had completed mental capacity assessments as required. Decisions about people's care had been taken in their best interests when they did not have the capacity to do so.

Not all staff had completed mandatory training. The registered manager told us this would be addressed immediately.

People received person centred care and support based on their individual needs and preferences. Staff were aware of people's life history, and their communication needs. They used this information to develop positive and meaningful relationships with people.

Sufficient numbers of staff were employed to meet people’s needs and support people to access the community. Staff were caring and always promoted people’s dignity and independence.

People we spoke with told us they felt safe being supported by the staff, and staff were able to describe the course of action they would take if they felt someone was being harmed or was at risk of harm.

Risks which compromised people’s health and well-being were appropriately assessed, reviewed when needed, and contained a high level of detailed information.

Safe recruitment procedures were in place. Appropriate checks were carried out on staff before they started working at the service to ensure they were suitable to work in the role.

There was a clear complaints policy for the service. Complaints we saw had been responded to appropriately.

Staff understood their role and had confidence in the manager. We were told the management team were approachable and responsive to any issues. Systems were in place to gather feedback from people.

People and their relatives were highly complimentary about the service. People told us the service was “excellent” and met people’s needs.

Rating at last inspection: Good (Report published 30th December 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

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

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 13 August 2019

The service was safe.

Details are in our Safe findings below.



Updated 13 August 2019

The service was effective.

Details are in our Effective findings below.



Updated 13 August 2019

The service was caring.

Details are in our Caring findings below.



Updated 13 August 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 13 August 2019

The service was well-led.

Details are in our Well-Led findings below.