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

We are carrying out a review of quality at Christies Care Ltd. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Outstanding

Updated 10 December 2016

An announced inspection of the service took place on 14 October 2016. This was followed up with visits to people in their own homes and phone calls to people to ask for their views on the service they received.

The service provided live in support to people in their own homes. This service is provided across the United Kingdom. The needs of people using the service vary widely some requiring support with personal care and others who may be living with dementia, Parkinson’s or learning difficulties.

The service had a registered manager. 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 received outstanding care which was continually reviewed to ensure the best possible outcomes. People's needs were comprehensively assessed and care plans gave clear guidance on how people were to be supported. Care was personalised so that each person's support reflected their preferences. We saw that people were at the centre of their care and found that their care and support was planned with them and not for them. People were supported to attend a range of leisure activities as well as being able to develop their own independent living skills. The service was flexible and adapted to people's changing needs and desires, enabling positive outcomes for all concerned. Each person was treated as an individual and as a result their care was tailored to meet their exact needs.

Staff were highly motivated to provide effective and compassionate care. They received comprehensive training and were provided with regular support. This included core training and shadowing which enabled them to be knowledgeable about their roles and responsibilities. Staff roles included 'champions' who had increased knowledge in areas such as dementia care. They were also provided with on-going training to update their skills and knowledge to support people with their care and support needs by a specialist training team. Further encouragement was given to enable staff to undertake additional qualifications.

People's experiences of care were extremely positive. People and their relatives were encouraged to fully engage in discussions about their care and support and this was facilitated by various communication methods. The service worked proactively to help people to make choices and decisions about their care and lifestyle and to be as independent as possible. Staff knew each person as an individual and what mattered to them. Privacy and dignity was respected by staff with whom positive relationships had been formed and who promoted individuality.

The services’ management team had a clear vision for the service and the direction of its future development. They were dedicated to providing a high quality service to the people the service supported and to the continual improvement of the service. They were influenced by the needs of the people it supported, and were committed to providing high quality care that was personalised to people's needs. Visions and values were cascaded to staff at regular meetings and during training courses, which gave them an opportunity to share ideas, and exchange information about possible areas for improvements to the registered manager. Ideas for change were always welcomed, and used to drive improvements and make positive changes for people.

Inspection areas

Safe

Good

Updated 10 December 2016

The service was safe.

Staff were trained to recognise and report abuse. Appropriate action was taken if abuse was identified.

Risks were managed to ensure people were safe and their freedom supported.

Staff were recruited safely to ensure they were suitable for their role.

Effective

Outstanding

Updated 10 December 2016

The service was very effective.

Extensive training was provided of a high quality. Specialist organisations were consulted when training was developed.

There was a thorough understanding of legal processes relating to restricting people’s liberty in this care setting.

The service pro-actively identified methods to support people to maintain good health.

Caring

Good

Updated 10 December 2016

The service was caring.

People and their live in carers were matched, as far as possible, with interests and hobbies.

People were supported to follow through decisions about where they wanted to receive their care and support.

People were treated with dignity and respect.

Responsive

Outstanding

Updated 10 December 2016

The service was highly responsive.

People’s needs were continually assessed and reviewed. People were encouraged to actively participate in their care planning.

People were encouraged to be as independent as possible from a committed staff team.

Feedback from complaints and monitoring were valued and used to make improvements.

Well-led

Outstanding

Updated 10 December 2016

The service was extremely well-led.

Management were dynamic and led by example, continually seeking to improve what the service offered to people.

The service actively sought the views of people and staff on the quality of the service and areas for improvement.

Information from quality monitoring systems was used to drive continual improvement in the service.

Staff were encouraged to improve their knowledge and maintain good practice by a management team who recognised the importance of remaining up to date with current practice.