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Creative Support - Wigan Service Good

Inspection Summary


Overall summary & rating

Good

Updated 23 November 2018

Creative Support Wigan Ltd provides a supported living service to 26 people with learning disabilities in nine properties, which varied in size and included single person tenancies and shared properties for up to four tenants.

The 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 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 is currently off work temporarily, their role has been covered by another registered manager from within the organisation. Staff we spoke with reported this had been effective and they felt they had enough support from the management team.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to be protected from the risk of harm and abuse. The service had clear safeguarding policies and procedures in place which had been followed when required. Staff knew how to recognise and raise any concerns.

Risk assessments identified the support people needed to manage the specific risks in their daily lives. Though some of the paperwork could have been clearer to follow, everything had been considered. The service continued to consider the impact on people's liberty and rights when supporting them to manage risks.

Staffing had been maintained at a safe level. The service reviewed the level of staffing regularly in response to changes in people's needs.

Medicines continued to be managed safely.

Emergency plans were in place and ensured staff knew how to respond to events including fires. Everyone living in the service had a Personal Emergency Evacuation Plan. (PEEP)

Infection control policies continued to protect people from the risk of infection and cross contamination.

Assessments identified people's needs prior to admission to the service. This ensured the service could be confident they were able to meet people's needs.

Staff training remained up to date which ensured staff had the appropriate skills and knowledge to support people effectively.

People continued to receive support with their nutrition and hydration. Advice and guidance from related professionals had been included in the support plans.

In addition to information about health needs and diagnoses people had hospital passports and health action plans, which ensured they were supported effectively should they need to access health services.

The two properties we visited had been adapted to ensure they were accessible. Further development had been undertaken to respond to the specific needs of individuals. Eg, sensory area in one of the properties.

The service continued to work within the principles of the Mental Capacity Act (2005) and associated Deprivation of Liberty Safeguards (DOLS). Staff understood the importance of achieving consent prior to providing care and support.

Staff were observed to interact with people and each other in kind and caring ways. The service had clear values in relation to supporting people to maintain their privacy, dignity and respect. Staff were skilled in ensuring these were achieved.

Communication guides were detailed and ens

Inspection areas

Safe

Good

Updated 23 November 2018

The service continued to be safe.

Effective

Good

Updated 23 November 2018

The service continued to be effective.

Caring

Good

Updated 23 November 2018

The service continued to be caring.

Responsive

Good

Updated 23 November 2018

The service continued to be responsive.

Well-led

Good

Updated 23 November 2018

The service continued to be well led.