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Choice Supported Living - South Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 16 January 2018

This inspection took place on 1 and 4 December 2017 and was announced to ensure that the registered manager or appropriate person would be available to assist with the inspection. This was the first inspection since the service became registered.

This service provides care and support to 13 people living in four ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Although there was a registered manager this person was no longer managing this service and had submitted an application to cancel their registration. 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. A new manager had been appointed and planned to submit an application to CQC to become the registered manager. Throughout the report we refer to this person as the manager.

Staff were extremely person centred in their approach which was enabled and supported by the provider. They provided compassionate, caring support which encouraged people’s communication and development of their independence. Staff worked exceptionally well with people and others to develop people’s skills and ensure they were receiving a service that they needed. People were very comfortable, relaxed and confident in the company of staff. Care plans were person centred and staff responded to people’s changing needs. Activities were based on individual preferences. The provider had found different means to engage and involve people, including employing them as experts to audit services.

Systems to ensure staff recruited were of good character were operated effectively and staffing levels were based on individual’s needs. The provider delivered training and ensured support and supervision was in place to enable staff to undertake their roles effectively.

Staff had a clear understanding of the needs of people and worked well as a team and with other professionals. They knew about any risks to people as a result of their physical and emotional needs as well as what action to take to minimise the risks. Medicines were safely managed. People were protected against abuse. Policies and procedures were available to everyone who used the service. The manager and staff recognised their responsibilities and duty of care to raise safeguarding concerns when they suspected an incident or event that may constitute abuse.

Staff understood the need for consent and demonstrated the principles of the Mental Capacity Act 2005 were understood and applied appropriately. They ensured people were involved in all aspects of the care and support. Where necessary staff involved others such as families to aid the development of clear support plans. Other health professionals were accessed to ensure people’s health care needs were met. People were supported in environments which suited their needs.

Staff were confident that the manager was knowledgeable and would take appropriate action if any concerns were raised. They felt supported and that the manager was easy to approach. The manager operated an open door policy and in order to provide clear leadership spent time visiting services.

Systems were in place which continually monitored the service to ensure this was safe and of good quality.

Inspection areas

Safe

Good

Updated 16 January 2018

The service was safe.

People were protected against abuse by staff who understood their responsibility to safeguard people. Risks associated with people�s needs were assessed and action was taken to reduce these risks.

Medicines were managed safely.

The provider�s recruitment process ensured appropriate checks were undertaken to ensure staff suitability to work with vulnerable adults.

Staffing levels were based on individual needs and systems were in place to ensure that ongoing learning took place when things went wrong.

Effective

Good

Updated 16 January 2018

The service was effective.

People told us they were always asked for their permission before personal care was provided. Where needed people�s ability to make decisions was assessed in line with the Mental Capacity Act, 2005 (MCA).

Staff received supervisions, appraisals and training to help them in their role.

People were supported to ensure they received adequate nutrition and hydration.

Staff worked well as a team and people were supported to maintain good health and had access to appropriate healthcare services.

Caring

Good

Updated 16 January 2018

The service was caring.

Staff had developed exceptional methods to communicate with people and enable people to communicate with others. They worked closely with other professionals to ensure this skill and other skills were continually developed and people were enabled to become more independent.

Staff had built brilliant relationships with people. Staff were kind, caring and considerate. They worked proactively to ensure people could build and maintain relationships outside of those developed with staff.

People were actively supported to be very involved in the running of the service.

Responsive

Good

Updated 16 January 2018

The service was responsive.

Staff responded to people�s needs and ensured a person centred service.

People were provided with appropriate mental and physical stimulation.

There was a process in place to deal with any complaints or concerns if they were raised.

Well-led

Good

Updated 16 January 2018

The service was well led.

Staff felt supported and confident to raise concerns with the manager who they felt would take all necessary action to address any concerns. The provider�s values were clear and understood by staff.

People, their families and staff had the opportunity to become involved in developing the service.

Systems were in place to ensure a quality service was being provided and that further developments could be achieved.