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

Inspection Summary


Overall summary & rating

Good

Updated 25 November 2016

This inspection took place on 27 October 2016. The inspection was announced. We gave the provider 48 hours’ notice of our inspection. This was to make sure we could meet with the manager of the service and care workers on the day of our office visit.

The service was last inspected on 30 January 2014, when we found the provider was compliant with the essential standards described in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

Warwickshire Supported Living is registered to provide personal care to people living in their own homes, including supported living locations. At the time of our visit the agency supported 17 people with personal care. Support hours provided by the agency depended on people’s assessed needs. Some people required 24 hour support.

The service had a registered manager. A requirement of the provider’s registration is that they have 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.

The provider regularly sought feedback from people and relatives. There were systems in place to monitor the quality and safety of the service provided.

There were enough suitably qualified care workers to meet people’s needs effectively. People received their care and support from care workers who they knew, and at the times needed. The provider conducted pre-employment checks prior to staff starting work, to ensure their suitability to support people in their homes.

The manager understood their responsibility to comply with the relevant requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Care workers gained people’s consent before they provided personal care and knew how to support people to make decisions.

People and relatives told us they felt safe using the service and care workers understood how to protect people from abuse. Risks to people’s safety inside and outside their homes were identified and care workers understood how these should be managed. Systems were in place to manage people’s medicines safely and care workers had received training to do this.

People were supported with dignity and respect. People were enabled to live as independently as possible, according to their needs and abilities. People told us care workers were caring, understood their needs and supported them to achieve their goals.

Care workers completed training considered essential to meet people’s needs safely and effectively. Care workers completed an induction when they joined the service and had their practice regularly checked by a member of the management team.

Care workers supported people to see healthcare professionals when needed and people who required support had enough to eat and drink.

People were involved in planning and reviewing their care. Care plans and risk assessments contained relevant information for care workers to help them provide the care and support people required. Changes to people’s care and support needs in some care records were not clearly documented. The service manager was taking action to rectify this.

People knew how to raise any concerns and were confident these would be listened and responded to effectively. People and relatives did not have any complaints about the service

People, relative’s and care workers felt the management team were approachable. Care workers felt valued because the management team listened to their views.

Inspection areas

Safe

Good

Updated 25 November 2016

The service was safe

People told us they felt safe with care workers and there were enough care workers to support people safely. There were procedures to protect people from harm and care workers understood the risks relating to people’s care. The provider checked care workers were suitable to deliver care and support to people in their own homes. There were procedures for administering medicines and staff were trained to do this safely. Changes to people’s care and support needs were not always clear in some care records. The service manager was addressing this.

Effective

Good

Updated 25 November 2016

The service was effective.

Care workers had completed training to ensure they had the knowledge and skills to deliver safe and effective care to people. The registered manager understood their responsibilities under the Mental Capacity Act 2005. Staff understood the principles of the Mental Capacity Act (2005) and how to support people with decision making. People were supported with their nutritional needs and to access healthcare services when required.

Caring

Good

Updated 25 November 2016

The service was caring.

People felt supported by care workers they considered to be caring and kind. Care workers ensured people were treated with dignity and respect. People were able to make every-day choices and were encouraged to maintain and increase their independence. People had privacy when needed. People received care and support from care workers they had developed positive relationships with and who understood their needs and aspirations.

Responsive

Good

Updated 25 November 2016

The service was responsive.

People received visits from care workers at the times they needed and as agreed to support them effectively. People decided how they were cared for and supported and staff respected their decisions. Care workers had a good understanding of the needs of people they supported and people were involved in developing and reviewing their care. People and relatives knew how to raise concerns about the service but had no cause to do this.

Well-led

Good

Updated 25 November 2016

The service was well-led.

People and relatives told us the service was very well managed and felt able to speak with the management team if they needed to. The management team supported care workers to carry out their roles. Care workers considered management approachable and responsive. The provider had effective systems to review the quality and safety of service provided and to make improvements where needed.