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Cheshire Care Services Ltd t/a Independent Living Support Good

Inspection Summary


Overall summary & rating

Good

Updated 16 January 2020

Cheshire Care Services provides personal care to up to 14 people who live within 10 separate supported living properties. The service provides support for older people and younger adults and those with physical disability, mental health needs, dementia or learning disabilities or autism. At the time of the inspection there were six people using the service.

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

Care plans lacked background information about people however staff members were knowledgeable about people’s backgrounds. We found some people’s care plans referred to a staff room being located in people’s homes. People who live in supported living properties should have access to all rooms within their homes.

People felt safe and their needs were being met. Relatives told us people were safe and raised no concerns over how staff supported people. Staff knew how to escalate issues and concerns and were aware of potential risks when providing support. New staff received induction and shadowing. Staff received regular training, supervision and appraisals.

People felt well cared for by staff who treated them with respect and dignity and encouraged them to maintain relationships and keep their independence for as long as possible. People could maintain friendships and contact with families, and when needed had access to advocates.

People felt staff supported their individual needs and requirements. People received food and drinks as required and attended any medical appointments. People were supported in the least restrictive way possible and in their best interests.

Staff liaised with other health care professionals to ensure people's safety and meet their health needs. Where people lacked capacity, staff worked with the local authority to make sure they minimised any restrictions on people's freedom for their safety and wellbeing.

Staff spoke positively about working for the provider. They felt well supported and that they could talk to management at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their role.

The service applied the principles and values of Registering the Right Support and other best practice guidance. 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.

Rating at last inspection: The last rating for this service was Good (published 14 June 2017).

Why we inspected: This was a planned comprehensive inspection based on the rating of good at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 16 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 16 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 January 2020

The service was not always well-led.

Details are in our well-Led findings below.