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Community Living & Support Services Limited Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2019

About the service

Community Living and Support Services Limited is a service which provides care for 42 people living in the community in a supported living environment. These are mainly young people with mental health needs and learning disabilities. Care ranges from a small number of hours per week to 24 hour care.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

People’s experience of using this service and what we found

There was a registered manager in post who was also the provider. A new manager had been in post for around five months. They were in the process of applying for registration with us.

Quality checks were carried out to monitor the service, however these did not always identify the concerns we found during our visit. These were in relation to training records, employment processes, changes in people’s care needs and action taken following some concerns being raised. Action taken was not always documented to demonstrate processes were followed correctly.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; however, systems did not always support this practice.

There were enough staff to ensure people were safe. Where risks associated with people's health and wellbeing had been identified, plans were in place to manage those risks while ensuring people could remain independent.

People received care which was responsive to their individual needs. Staff had a good understanding of how to support them well.

Care records provided information in relation to people’s backgrounds, interests and care needs and this information was in the process of being updated.

Staff understood their responsibility to safeguard people from harm and knew how to report concerns.

The provider ensured care was based upon good practice guidance to help ensure people received an effective service.

Staff were caring in their approach and had good relationships with people. Promoting independence was a part of the ethos of the service and people were supported to improve their daily life skills.

Staff encouraged people to maintain a balanced diet and respected their individual choices. The provider and staff team worked closely with external healthcare professionals to ensure people's health and wellbeing was maintained.

Positive feedback was received in relation to the management of the service. People, relatives and staff had opportunities to feedback about the running of the service. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was rated as Good in April 2017.

Why we inspected

The inspection was prompted by some concerns received about staff practices when supporting people. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm, however we did find improvement was required in some other areas.

We have found evidence that the provider needs to make improvements. Please see the Effective and Well – Led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We have identified a breach in relation to ‘Good governance’ at this inspection. Systems and processes were not operated effectively.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 23 July 2019

The service was safe

Details are in our safe findings below.

Effective

Requires improvement

Updated 23 July 2019

The service was not always effective

Details are in our effective findings below.

Caring

Good

Updated 23 July 2019

The service was caring

Details are in our caring findings below.

Responsive

Good

Updated 23 July 2019

The service was responsive

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 23 July 2019

The service was not always well-led

Details are in our well-led findings below.