We carried out a review of the data available to us about Kelsam Support Services Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kelsam Support Services Ltd, you can give feedback on this service.
Kelsam Support Service is a domiciliary care service which provides personal care and support to people who live in their own homes. The service specialises in supporting people with learning disabilities, acquired brain injuries, mental health, autism and physical disabilities. At the time of our inspection nine people were using the service.
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
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; the policies and systems in the service supported this practice.
People were cared for and supported by a passionate and enthusiastic staff team led by a highly motivated management team.
Staff were trained with the required skills and knowledge to meet people’s needs. Staff were recruited safely. The provider had robust recruitment processes in place to ensure only staff suitable to work with vulnerable adults were employed.
There was a strong person-centred culture established within the service. People received person-centred care that was tailored to meet their individual needs by staff that were caring, compassionate and kind. Staff knew people well and had formed positive relationships with them. Staff encouraged people to live as full a life as possible and supported them to achieve the best possible outcomes.
People and their relatives were involved in the care planning to ensure their decisions and choices were reflected. Care plans and risk assessments were detailed and documented people’s history, likes/dislikes, routines and goals.
People were treated as individuals and staff respected the choices they made. People’s social needs as well as their physical and emotional needs were incorporated into the plan of care and used to promote and maintain people’s abilities and independence. People were supported and encouraged to maintain their hobbies and interests and to access employment opportunities.
Where required people were supported to prepare their meals and drinks. Staff understood and met people’s nutritional needs.
Medicines were managed in a safe way. Where appropriate people were provided with the support they needed to take their medicines safely by staff who were trained and regularly had their competency assessed. Staff supported people to make and attend health appointments. The team worked closely with external health care professionals to ensure people’s health needs were met.
Staff understood their roles and what was expected of them. They told us they were supported and could give feedback and make suggestions to the registered managers and their views would be listened to.
The registered managers were hands on, visible and available for support. They knew people and their relatives well. People and relatives said the registered managers were approachable and felt happy and comfortable talking to them at any time. One person said, “I’m happy to discuss anything with them [registered managers]. You can talk to them [registered managers], they are never too busy to help.” People had access to information about how to raise a complaint.
The registered managers completed regular checks to make sure people received person-centred high-quality care.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The registered managers and staff team promoted a positive culture, they provided a service where people receive person-centred support that is appropriate and inclusive for them. People’s support focused on people’s strengths and promoted independence. People were supported to make choices, to maintain important relationships and to access their local community and local health services.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 25 November 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kelsam Support Services Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Kelsam Support Services is a domiciliary care service that provides personal care to people in their own homes. It specialises in supporting people with learning disabilities, acquired brain injuries, autism and physical disabilities. 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. At the time of our inspection, seven people were using the service.
People’s experience of using this service and what we found
Staff understood how to recognise and alert others to potential abuse involving people who used the service. The risks associated with people’s care and support needs were assessed, managed and kept under review. People received a consistent and reliable service, provided by regular staff with whom they were familiar. The provider carried out checks on the suitability of staff before they started work. People had the support they needed to manage and take their medicines safely. The provider had measures in place to protect people from infections. The management team reviewed any accidents or incidents involving people who used the service, in order to learn from these.
The management team assessed people’s individual needs and requirements before their care began. Staff participated in a rolling programme of training that reflected people’s individual needs and their duties and responsibilities. People had support to prepare their meals and drinks where they needed this. Staff and management worked effectively with community health and social care professionals to ensure people’s needs were met. Where appropriate, people had support to arrange and attend medical appointments. 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; the policies and systems in the service supported this practice.
The management team promoted a person-centred culture within the service. People’s care and support was exceptionally kind and compassionate. Staff demonstrated a high level of motivation for their work and were matched to people’s personalities and interests. Staff and management recognised when people needed additional caring support and responded to this. People and their relatives were supported to express their views about the service. The management team actively supported people and their relatives to access additional sources of support and advice on their care. People were treated with dignity and respect at all times.
People’s care plans promoted a person-centred approach and were read and followed by staff. People had support to participate in a range of activities of their choosing and to access employment opportunities. People and their relatives were clear how to complain about the service, and felt comfortable doing so.
People, their relatives and staff spoke highly of the management team, whom they found approachable, caring and ready to help. Staff were clear what was expected of them and felt their work was valued by management. The provider had quality assurance systems and processes in place to enable them to monitor and improve people's care. Staff and management sought to maintain positive working relationships with the community professionals involved in people’s care.
Rating at last inspection
The service was registered with us on 17/10/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based upon the service’s registration date.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.