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Inspection Summary


Overall summary & rating

Outstanding

Updated 17 August 2018

This inspection took place on 5 and 7 June 2018 and was announced. The inspection was undertaken by one inspector.

Longworth CMS Ltd provides personal care services to one person with a learning disability and autism who lives in their own home. This limited company was set up by the person’s parents to arrange and direct the care for the person. The limited company employed the person’s family members and non-family members to provide the care.

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.

There was a registered manager in place. 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.

This was the first inspection of this service since it was registered.

Staff understood their roles and responsibilities to safeguard the person from the risk of harm and risks to the person were assessed and monitored regularly.

Staffing levels ensured that the person’s care and support needs were met safely and safe recruitment processes were in place. The person was supported by a small and consistent staff team that meant that they could develop positive relationships with staff that understood their needs.

The providers had followed legal requirements to make sure that any decisions made or restrictions to the person were done in the person’s best interest. The providers were well aware of the Mental Capacity Act (MCA) 2005.

The person’s needs and choices were assessed and their care was provided in line with up to date guidance. Care plans contained personalised information about what was important to the person, what mattered to them, what they would like the staff team to know and do, and the help and support they needed.

The person received care from staff that had received training and support to carry out their roles. For example, staff received training and support to use a picture exchange communication system (PECS) to meet the person’s individual needs. Staff told us they were very happy with how they were supported to carry out their role. One staff member described the support they received as 'brilliant'.

Risks were assessed and recorded by staff and there were systems in place to monitor incidents and accidents. There were arrangements in place for the service to make sure that action was taken and lessons learned if things went wrong.

Staff understood how to support the person to manage behaviours that the service may find challenging. There were positive behaviour support plans in place.

The service worked with healthcare professionals to ensure that the person’s needs were met. Recommendations from healthcare professionals were incorporated in the person’s care plan.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines were suitable for the person who used the service.

Staff were caring and the person was at the centre of the care provided. The service focused on person centred outcomes and recruited staff who had the right values. The staff worked with the person to focus on what was important to them and to support them to achieve the most out of their lives. The person benefited from the extremely committed staff who delivered effective care and support. There were many examples of staff working together to achieve a very positive impact on the person’s daily life.

Staff treated the person with dignity and respect and ensured their privacy was maintained. Staff spoke about ‘working for

Inspection areas

Safe

Good

Updated 17 August 2018

The service was safe.

Medicines were managed safely.

Risks that had been identified were well managed.

There were sufficient numbers of suitable staff to meet people's needs.

Staff were checked before they started work to make sure they were suitable to work in this service.

Arrangements were in place for infection control and food hygiene.

Effective

Good

Updated 17 August 2018

The service was effective.

Staff received training and support to ensure they could carry out their roles effectively. There were systems in place for staff to receive feedback on their work.

The providers were knowledgeable regarding the person’s rights under the Mental Capacity Act 2005 and arrangements were in place for best interest decisions to be made.

Nutrition was managed with regard to the person’s needs and they were supported to eat and drink.

The person’s health care needs were met and healthcare professionals supported them to remain healthy.

Caring

Outstanding

Updated 17 August 2018

The service was very caring.

The person benefited from a strong, visible, person-centred culture.

The service was exceptional at working with the person and ensuring they got the support they needed and wanted.

Respect for people’s privacy and dignity was at the heart of the service’s culture and values.

Responsive

Outstanding

Updated 17 August 2018

The service was responsive

The person was able to take part in activities that meant something and interested them.

The provider responded well to the person’s changing needs and managed these well.

Well-led

Good

Updated 17 August 2018

The service was well-led.

The providers monitored the quality of the service in order to ensure care provided met the person’s needs.

Staff spoke positively about the values of the provider and registered manager.

The provider maintained accurate records in relation to the person’s care and the service.

The registered manager was aware that statutory notifications were required about specific incidents and information.