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MacIntyre Central England Support Good

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

Inspection Summary


Overall summary & rating

Good

Updated 20 June 2018

MacIntyre Central England Support is a supported living and domiciliary care service that supports people with learning disabilities and Autism to live as independently as possible in their own homes. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. People had a range of disabilities and included people with learning and physical disabilities. At the time of the inspection there were seven people

being supported with personal care.

This was the first inspection at this location. We found the service to be Good overall.

There was a registered manager in post; 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 had overall management responsibility for MacIntyre Central England Support, while each supported living service had a manager. The service was well-led by this management team who were committed to ensuring people lived fulfilling lives. The service had an ethos: 'MacIntyre DNA', which was a statement of the organisation's values and standards. This was embedded throughout the organisation and had a positive impact on people's day to day lives.

Without exception, people's relatives spoke positively about their experience of the service and the successes people had been supported to achieve.

People had access to a wide range of activities which took account of their personal preferences

and were tailored to their individual needs.

The service was very successful in identifying the causes of behaviour that challenged, and in implementing proactive and reactive strategies to reduce them. There were many examples of people's lives being transformed through skilful behavioural support. The service had implemented a range of adaptive and creative methods of communicating for people, to overcome barriers they experienced due to their learning disability and/or Autism

There was an extremely caring culture that ensured people's privacy was protected and respected. Everyone spoke of the openness of the service and without exception, staff felt valued and listened to. Staff were highly motivated and committed to ensure people's individual needs were met.

Staff were supported to ensure they were skilled and knowledgeable in order to be able to meet people's needs. The staff we spoke with were confident that the support they received enabled them to do their jobs effectively.

The registered manager and staff we spoke to understood the requirements of the MCA, and 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 also supported this practice. Staff consistently obtained people's consent before providing support and, if people were assessed as lacking capacity to make a decision, staff ensured they acted in the person's best interests to protect their human rights. Best interest decisions were recorded.

The service ensured people were supported to understand risks and where risks were identified people were supported to manage the risks. The service promoted positive risk taking and ensured that risks were assessed and reduced whilst still promoting people’s independence.

We found that the service followed safe recruitment processes and completed additional steps to ensure that the staff employed by the service reflected its visions and values in the provision of quality care to people. Staff had completed regular train

Inspection areas

Safe

Good

Updated 20 June 2018

The service was safe

Where risks were identified there were management plans in

place to support people to manage the risks.

Medicines were managed safely. People were supported to

administer their own medicines where possible.

Staff had a clear understanding of their responsibilities to

identify and report any safeguarding concerns.

Effective systems were in place to investigate when things went wrong and identify trends.

Effective

Good

Updated 20 June 2018

The service was effective.

People's rights were protected in line with the principles of the

MCA.

Detailed assessments were completed prior to using the service

to ensure people were supported in ways to effectively meet their needs

The service used innovative ways to promote understanding and independence

Caring

Good

Updated 20 June 2018

The service was caring

People were treated with kindness and respect

The service embedded a philosophy of positive and effective interactions throughout it's day to day work

People were supported with kindness and compassion and their dignity and privacy was respected.

Responsive

Good

Updated 20 June 2018

The service was responsive.

People were supported to maintain relationships that were important to them.

People’s care plans were detailed and person centred and written with the involvement of

families.

People and their families were involved in regular reviews and records were

updated to provide accurate guidance for staff.

Relatives were confident in raising any concerns they had.

Well-led

Good

Updated 20 June 2018

The service was extremely well-led.

The management team were committed and passionate

about ensuring a person-centred approach to the support

people received.

All staff were committed to ensuring people

were valued as unique individuals.

The culture and delivery of care was driven by a clear strartegy