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Wealden Community Support Service Good

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

Inspection Summary


Overall summary & rating

Good

Updated 21 March 2018

The inspection took place on 12 and 16 January 2018 and was announced to ensure that the management team and people using the service would be available during the inspection.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community and supported living homes. It provides a service to people with learning disabilities or autistic spectrum disorder. The care agency 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.

Wealden Community Support Service provided support to 47 people with a learning disability in the community. However, only three people received support with personal care which is a regulatory activity registered by CQC. In addition to the domiciliary care service there was also a supported living service for six people who received support under the regulated activity. This inspection focused on the care and support provided to the nine people where they received a service registered by CQC.

At the time of our inspection there was not a registered manager at the service. 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. However, the operations manager had submitted an application to the CQC to register as manager.

People were kept safe from abuse and harm and staff knew how to report suspicions around abuse. Risks were minimised through the use of effective control measures. There were sufficient numbers of staff deployed to meet people’s needs and ensure their safety.

People received their medicines when they needed them from staff who had been trained and competency checked. Staff understood the best practice procedures for reducing the risk of infection; and audits were carried out to ensure the environment was clean and safe. The service used incidents, accidents and near misses to learn from mistakes and drive improvements.

People had effective assessments prior to a service being offered. This meant that care outcomes were planned for and staff understood what support each person required. Staff were trained in key areas and had the skills and knowledge to carry out their roles. Staff could request additional training and had been supervised effectively by their managers. People were supported to receive enough to eat and drink and staff used nationally recognised guidance to ensure people had a balanced diet and enough sustenance.

The service worked in collaboration with other professionals such as speech and language therapy and people’s GPs to ensure care was effectively delivered. People maintained good health and had access to health and social care professionals. Environments were risk assessed to ensure people were safe in their homes and staff could work without the risk of danger.

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 support this practice. The principles of the Mental Capacity Act were being complied with and any restrictions were assessed to ensure they were lawful and the least restrictive option.

Staff treated people with kindness and compassion. Staff knew people’s needs well and people told us they liked and valued their staff. People and their relatives were consulted around their care and support and their views were acted upon. People’s dignity and privacy was respected and upheld and staff encouraged people to be as independent a

Inspection areas

Safe

Good

Updated 21 March 2018

Wealden Community Support Services was safe.

People felt safe and were protected from the risk of potential harm and abuse.

Risks to people, staff and others had been assessed and recorded and control measures were effective in reducing potential harm.

There was a sufficient number of staff to ensure that people’s needs were consistently met.

People who received support with their medicines did so safely.

The risk of infection was controlled by staff who understood good practice and used protective equipment.

Lessons were learned when things went wrong and accidents and incidents were investigated with learning fed back to staff.

Effective

Good

Updated 21 March 2018

Wealden Community Support Services was effective.

People received extensive assessments that ensured effective support outcomes were set and worked towards.

Staff received effective training to meet people’s needs.

People were supported to eat and drink enough to maintain good health.

Staff members worked effectively with other agencies and organisations to ensure the care people received was effective.

People were supported to remain as healthy as possible and had access to healthcare professionals.

Staff understood their responsibilities under the Mental Capacity Act and used these in their everyday practice.

Caring

Good

Updated 21 March 2018

Wealden Community Support Services was caring.

People were supported by staff who were caring and respected their privacy and dignity.

People were involved in the development of their care plans and their personal preferences were recorded.

Staff had access to people’s likes and personal histories and used the information to support people in a way that upheld their dignity and protected their privacy.

Responsive

Good

Updated 21 March 2018

Wealden Community Support Services was responsive.

People’s needs were assessed, recorded and reviewed.

People received personalised care and were included in decisions about their care and support.

A complaints policy and procedure was in place and available to people.

Well-led

Good

Updated 21 March 2018

Wealden Community Support Services was well-led.

There was an open culture where staff were kept informed and able to suggest ideas to improve the service.

There were effective systems for assessing, monitoring and developing the quality of the service being provided to people.

Staff understood their responsibilities and knew who the management team were, and felt able to approach them.

The views of people and others were actively sought and acted on.

The service continuously learned and improved and staff were given opportunity to progress.

The service worked effectively in partnership with other agencies