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You & Me Supported Living Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 20 June 2017

We inspected The Granary on 23 May 2017. The Granary is a small, family run service that supports younger adults affected by learning disabilities or autistic spectrum disorder. The support provided can range from a few hours each week to twenty four hour support for all aspects of daily living. At the time of this inspection five people were supported by the service. Four people lived together in a shared house, a supported living accommodation and one person lived in their own house.

There was a registered manager in post at 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.

The registered manager promoted a person centred culture that was open and empowering. People benefitted from a team of motivated and committed staff that put people at the centre of the service delivery. The registered manager ensured people’s views mattered in the day to day running of the service their views were sought and valued. There was a strong emphasis on maintaining excellent communication within the service.

The registered manager had good systems in place to monitor the quality of the service and where required they acted to improve the service. The registered provider worked effectively with external agencies and other health and social care professionals to provide holistic and consistent care to people.

People told us they felt safe. Staff knew how to report safeguarding concerns and were aware of the provider’s whistle blowing policy. People’s care plans contained detailed risk assessments that covered various areas of their daily living. Where people were at risk, their records outlined management plans on how to keep them safe. There was a string emphasis on positive risk taking. People were supported to maintain their nutritional needs and access health services as needed.

There were sufficient staff to keep people safe and the provider ensured safe recruitment practices were followed. This helped the registered manager make safer recruitment decisions when employing new staff. Staff were skilled and knowledgeable about what was expected of them and had relevant experience. Staff were well supported, highly motivated and enthusiastic about working with people.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People benefitted from compassionate staff that they built meaningful, caring relationships with. People’s dignity and privacy were respected. People were supported to be as independent as possible. Staff were knowledgeable about people’s abilities and preferences, and were aware about how to best support people in a way that met their individual needs.

People were involved in writing their support plans and the records were detailed and updated when people’s needs changed. People were supported to lead their lives as they wanted. Staff supported and encouraged people to pursue with their education, job placements and leisure activities that contributed to people’s self-esteem and confidence.

Information on how to complain was available to people and people knew how to raise concern. People had opportunities to voice their opinion about the service in a number of ways and their views were valued and considered.

Inspection areas

Safe

Good

Updated 20 June 2017

The service was safe.

People told us they felt safe.

There were sufficient numbers of staff to ensure people were safe and experienced continuity of care.

Risks to people�s well-being were assessed and recorded.

Staff knew how to safeguard people from abuse and understood their responsibility to report any concerns.

Effective

Good

Updated 20 June 2017

The service was effective.

The registered manager and staff were aware of the principles of the Mental Capacity Act 2005.

People benefitted from staff that were confident in their roles and were well supported.

The service worked closely with other health professionals to ensure people�s health needs were met.

Caring

Good

Updated 20 June 2017

The service was caring.

People benefitted from staff that cared about the people they were supporting.

People's individual care needs were understood by staff and people were encouraged to be as independent as possible.

People's privacy and dignity was respected.

Responsive

Good

Updated 20 June 2017

The service was responsive.

People were supported to live their lives as they wanted.

People�s needs were assessed and this information was used to form a personalised support plan.

People's views mattered and they had opportunities to provide feedback on the service received.

Well-led

Good

Updated 20 June 2017

The service was well-led.

The registered manager ensured people were partners in the day to day running of the service their views were sought and valued.

The registered manager promoted the culture of openness and honesty.

The quality of the service was monitored and there was continuous drive to enhance the experience for people.