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Archived: Garland Support Good

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

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 24 August 2018

Garland Support is a supported living service for adults who have physical or learning disabilities and live in their own homes. At the time of this inspection there were five people with disabilities who received a range of support from the service, including personal care. Our inspection focussed on the support given to these five people. The service also provided support to people who did not require personal care. This part of the service is not covered by CQC legislation and therefore was not included in the inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

We checked the service was working in line with ‘Registering the right support’, which makes sure services for people with a learning disability and/or autism receive services are developed in line with national policy - including the national plan, Building the right support - and best practice. For example, how the service ensured care was personalised, people’s independence and links with their community.

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Why the service is rated Good

People and their relatives told us the service was safe. Robust systems, processes and practices were in place to protect people from the risks including the risk of abuse, falls, fire and infection. Staff had received training on safeguarding. Risks to people’s health and safety had been assessed and staff had been given information and training about these as well. Staff understood specific health conditions and knew how to recognise signs of illness and when to seek medical intervention. People were supported to manage their medicines safely. The provider had systems in place to ensure that lessons were learnt and improvements made. As a result they had a low level of incidents and accidents.

Care was taken to recruit and select the right staff for the job. Recruitment processes helped the provider choose applicants with the right values and caring qualities for the job. A person told us “They are marvellous. Always kind.” There were enough staff employed to ensure that people always received support at the right times, and by staff they knew. A relative told us “[…] has a steady, regular staff team. Staff have got to know him. Staff have managed his behaviours well.”

People continued to receive a service that was effective. People told us they were very happy with the support they received. Each person received a timetable each week, in a format they could understand, to let them know who would be visiting them and at what times. Staff told us there were effective systems in place to manage their weekly rotas and ensure they knew who they were visiting each week, and when. The service was reliable.

Staff had the skills, knowledge and experience to deliver effective care and support. Staff received induction and ongoing training and updates on a range of topics relevant to the needs of the people they supported. They were also supported to gain relevant qualifications and to attend courses and training sessions to enable them to improve their knowledge and skills. A relative told us they were confident the staff were well trained, saying “I think they are a high calibre of staff.”

Consent to care and treatment was always sought in line with legislation and guidance. The service understood their legal responsibility to ensure they complied with the Mental Capacity Act. People were supported to make choices and decisions about all aspects of their lives, as far as they were able. People receive support from staff who respected and promoted equality and diversity.

People were supported to eat and drink enough to maintain a healthy balanced diet. Where people requ

Inspection areas

Safe

Good

Updated 24 August 2018

The service remains Good

Effective

Good

Updated 24 August 2018

The service remains Good

Caring

Good

Updated 24 August 2018

The service remains Good

Responsive

Good

Updated 24 August 2018

The service remains Good

Well-led

Good

Updated 24 August 2018

The service remains Good