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

Inspection Summary


Overall summary & rating

Outstanding

Updated 14 February 2019

The inspection took place on 18 December 2018. This was an announced inspection. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in. The service was last inspected in May 2016 where it was rated Good .

Edenvale Care Limited provides care and support to approximately 47 people in their own homes and in a number of supported living projects. The majority of people using the service had a learning disability. The majority of the personal care and supported living services are provided in the London Borough of Enfield. Supported living services were also being provided in the London Borough of Haringey. 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.

The service had been developed and designed prior to the development of the values that underpin the Registering the Right Support and other best practice guidance. These values included choice, promotion of independence and inclusion. However, we saw that people with learning disabilities who used the service were able to live as ordinary a life as any citizen.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 service was exceptionally caring. Care staff knew the importance of developing good working relationships with the people they looked after and ensured they provided person centred care based on their specific needs. The feedback we received from people, and their relatives, and health and social care professionals was overwhelmingly positive. Care plans contained detailed information about people’s interests, family life and life history. The service had helped people achieve their dreams and aspirations. The service promoted people to live as independently as possible at home and accessing the community. The service worked with other agencies to support people to be safe in the community. People were supported by a team of regular staff that they knew and who they said were kind and caring. Staff respected people's privacy and dignity and promoted their independence.

Staff were employed in sufficient numbers to meet people's needs and to keep them safe. Staff teams were organised in a way that helped ensure consistency. Each person had a designated team of staff who they were familiar with and had formed strong and trusting relationships. Any changes to staffing were communicated clearly to people and relatives to ensure people remained safe and comfortable in their homes.

The service actively involved people who used the service and their relatives in the recruitment process and in staff training. Staff members were recruited and trained to meet people's specific care needs we saw that care teams were highly reflective of the shared interests, backgrounds and beliefs of the people who they supported. This approach was firmly underpinned by the culture of the service, which we established was positive, person centred, inclusive and forward thinking.

People were valued and supported to be as independent as possible. People's rights were upheld, consent was always sought before any support was given. Staff were aware of the legislation that ensured people were protected in respect of decision making and any restrictions and how this impacted on their day to day roles. Staff strongly advocated for people to live the life they wanted whether that was on their own or in supported living schemes.

We spoke with a range of people who used the service, relatives, health and social care professionals and

Inspection areas

Safe

Good

Updated 14 February 2019

The service was safe.

The service minimised risks while offering life enhancing experiences to people who used the service.

People and their relatives played an active role in the recruitment and the training of their care team. Robust, very safe recruitment procedures were followed and staff skills, expertise and knowledge related to the specific needs of each person.

Staff knew who to contact in case of emergency and both relatives and staff had access to out of office hour's services if the need should arise.

Staff were trained to administer medicines safely in accordance with national published guidance.

People were protected by the prevention and control of infection.

Effective

Good

Updated 14 February 2019

The service was effective.

Staff received induction, supervision and specialised training to be able to deliver high-quality and person-centred care and support. Training was offered to relatives to help support them.

Staff understood the principles of the Mental Capacity Act (2005). Appropriate procedures were in place to protect people's rights.

Staff were aware of people’s dietary preferences. Staff had a good understanding about the current medical and health conditions of the people they supported.

Caring

Outstanding

Updated 14 February 2019

The service was exceptionally caring.

The provider went above and beyond to ensure people were treated with kindness. Care staff knew the importance of developing good working relationships with the people they looked after and ensured they provided person centred care based on their specific needs.

The feedback we received from people, and their relatives, and health and social care professionals was overwhelmingly positive. Care plans contained detailed information about people’s interests, family life and life history.

The service promoted people to live as independently as possible at home and accessing the community.

People were supported by a team of regular staff that they knew and who they said were kind and caring.

Responsive

Outstanding

Updated 14 February 2019

The service was exceptionally responsive.

Staff were supported by the service when delivering end of life care. The service went above and beyond when supporting people and their relatives with their end of life wishes.

People received support that was personalised to their individual needs, lifestyle and requests.

People were supported to take part in a wide range of activities that met their interests, and aspirations. The activities were varied and led by what each person wanted to do.

Complaints procedures were adapted to make sure that everyone within the service was supported to understand the process.

Well-led

Outstanding

Updated 14 February 2019

The service was exceptionally well-led.

People were placed at the heart of the service and were supported to be fully involved in decisions about their care and support.

There were clear values and visions for the service, which included, compassion, respect and independence. The management team monitored staff performance to ensure they displayed these values whilst supporting people.

People were supported by staff who were passionate about providing good care and were proud to work for the organisation.

The provider, registered manager and staff were committed to providing outstanding personalised care. There was a strong emphasis on continually striving to improve and develop the service.

There was a strong organisational commitment to staff, and awareness of best practice. This included striving for excellence through liaison with other health and social care services.