We carried out a review of the data available to us about Choice Supported Living - West on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Choice Supported Living - West, you can give feedback on this service.
Choice Support Living West is registered to provide personal care. Not everyone who used the service received personal care. The Care Quality Commission (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 support was provided to one person who required support with their personal care needs.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People's experience of using this service and what we found
People felt safe and were protected from abuse and avoidable harm. Staff knew when and how to report concerns. Where risks to individuals had been identified, measures had been put in place to reduce or eliminate those risks. Safe systems were in place to ensure people got their medicines at the right times.
There were enough staff with the right skills and experience to meet people's needs. People were supported by a team of staff who were happy in their jobs. The registered manager completed a range of regular checks on the quality and safety of the service. Staff supported people to keep their homes' clean and tidy. Staff had access to personal protective equipment such as gloves and aprons and followed infection prevention and control policies to reduce the risk of infection.
People's communication needs were identified, recorded and highlighted in care plans and staff communicated with people effectively to ascertain and respect their wishes. People were routinely asked if they had any problems or concerns and staff knew how to recognise when people were worried even when they may not be able to verbally express this. People were supported to eat and drink enough and staff promoted a healthy balanced diet.
People had their needs and choices assessed before they began using the service. Care and support was delivered in line with evidence based best practice guidance and care needs were clearly identified in their care plans. Staff received the training, support and professional development they required to meet people's needs.
A complaints procedure was in place and had been used to improve the service.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 8 February 2017).
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.
There was a registered manager in post on the days of our inspection. They were in the process of handing the management of the service to a new manager, who had history of working with the service. The registered manager is also one of the providers of 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 kept safe. Support workers ensured people were protected from the risks associated with their care. People were supported with their independence and to take positive risks.
People enjoyed spending time with support workers and were supported to live full and active lives. They were supported by a kind, caring and compassionate support team. Support workers clearly knew people’s needs, wishes and preferences.
People told us they felt safe with support workers and safe in the home. Staff had a good understanding of safeguarding and the service took appropriate action to deal with any concerns or allegations of abuse.
People's needs were assessed. Where any risks were identified, management plans were in place. They were supported in a way that recognised their rights to take risks. The care and support people received was personalised to their needs.
People views on the service sought. The registered manager and provider ensured the views of people and healthcare professionals views mattered. Quality assurance systems were in place to enable the service to identify areas for improvement and ensure people received a good quality service.