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Archived: South Supported Living Service

Overall: Good read more about inspection ratings

Marsh House, Victoria Road, Ulverston, Cumbria, LA12 0ER

Provided and run by:
Cumbria County Council

Important: The provider of this service changed. See new profile
Important: This service was previously registered at a different address - see old profile

All Inspections

2 February 2023

During an inspection looking at part of the service

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

South Supported Living Service provides support and personal care to people with a learning disability and/or autism living in 9 shared houses in Barrow, Ulverston and the surrounding areas. People had their own bedrooms and shared facilities such as communal areas, bathrooms and kitchens.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection the service supported 21 people with their personal care.

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

Right Support:

People had a fulfilling and meaningful everyday life because staff focused on their strengths and promoted what they could do. People told us they were supported to gain skills and independence and were proud of their achievements.

People were supported by staff to pursue their interests in their homes and in the community. People told us they enjoyed a variety of activities in the local community. A relative told us, “[Relative] has got more independence and the staff are good at making sure they get activities and lead as ‘normal’ a life as they can with plenty of input.”

Staff supported people to identify and achieve their aspirations and goals. People were active members of their community and staff valued their achievements.

People had a choice about their living environment and were able to personalise their rooms. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs.

Staff enabled people to access routine and specialist health and social care support to ensure their health and wellbeing. They supported people with their medicines in a way that promoted their independence and achieved the best possible health outcomes.

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. Staff supported people to make decisions following best practice in decision-making. They communicated with people in ways that met their needs.

Right Care:

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.

People were safe and protected from abuse. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People liked the staff who supported them. One person said, “[Staff member] is nice, she helps me.”

People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them.

People’s care and support plans reflected their range of needs and gave good guidance for staff on how to support them. This promoted their wellbeing and enjoyment of life.

Staff and people cooperated to assess risks people might face. A relative told us, “[Staff] are aware of what dangers and difficulties [relative] faces and they deal with them.” Where appropriate, staff encouraged and enabled people to take positive risks.

Right Culture:

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff placed people’s wishes, needs and rights at the heart of everything they did. They knew people well and were responsive, supporting their aspirations to live a quality life of their choosing.

People and those important to them were involved in planning their care. Staff knew how to give people choices about their lives and respected the decisions they 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 (published 28 September 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

The service had not been subject to any formal regulatory review since the inspection in 2017. We undertook a focused inspection to seek assurance people continued to receive safe, high-quality care. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for South Supported Living Service on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

10 August 2017

During a routine inspection

We carried out this announced inspection between 10 and 16 August 2017.

The service was registered at its current address in February 2016. This was our first inspection of the service at this address.

The service was last inspected, at a previous address, in July 2014 and assessed as good. After that inspection we found that the provider for the service was not registered correctly. We discussed this with Cumbria County Council and they submitted an application to correct their registration details.

South Cumbria Domiciliary Support Service provides support to adults who have a learning disability. The service provides supported living services to people living in the South Lakeland and Furness districts of Cumbria. Supported living services involve a person living in their own home and receiving care and/or support in order to promote their independence. The care they receive is regulated by the Care Quality Commission but the accommodation is not.

The service also operates a Shared Lives scheme. This part of the service recruits and supports Shared Lives carers. The Shared Lives carers are self-employed and provide support and accommodation to adults who have a disability and who are not able to live independently. People live in the Shared Lives carer’s home as part of their family. The Shared Lives scheme provided short and long term accommodation for people.

At the time of our inspection 30 people received support from the supported living service and 13 people received support from the Shared Lives scheme.

There was a registered manager employed to run the service. 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 were safe receiving support from the service. There were enough support staff and Shared Lives carers to provide people’s support.

People were protected from abuse. Robust procedures were used to check that people recruited to the service were suitable to care for individuals.

Hazards to people’s safety had been identified and actions taken to manage risks. Risk assessments were used in a positive way to support people to gain greater independence. People received the guidance they needed to remain safe in their homes and in the local community.

Medicines were handled safely and people received their medicines as they required. People were supported to manage their own medicines.

The support staff and Shared Lives carers had received training to give them the skills and knowledge to provide people’s support. The service employed supervisors who gave support and guidance to the Shared Lives carers and support staff.

People received the support they required with preparing and enjoying their meals and drinks.

People were supported to have maximum choice and control of their lives and the staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were treated in a kind and caring way. The support staff and Shared Lives carers knew people they supported well.

Care was planned and provided to meet people’s needs. People who used the service and those who knew them well were included in developing individuals’ care plans.

People were supported to gain greater independence and to learn new skills. They were supported to follow activities that they enjoyed and to maintain relationships that were important to them.

The registered provider had a procedure for receiving and handling complaints about the service.

The registered manager was supported by a team of supervisors. People knew how they could contact a senior person in the service if they needed to. The registered manager and supervisors carried out checks on the service to ensure people received a good quality of support.

People who used the service, support staff and Shared Lives carers were asked for their views about the service provided.