10 July 2019
During a routine inspection
Choice Support - 6 Bowley Close is a small residential care home providing personal care to three people with a complex learning disability at the time of the inspection. The service can support up to four people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Relatives were positive about the kind and caring nature of the staff team. People were relaxed with staff and we observed people were treated with kindness, dignity and respect.
People were supported to a range of healthcare appointments and staff followed up any issues or concerns. People had accessible records in place that helped health and social care professionals understand their conditions and how they liked to be supported if they went to hospital.
People received personalised care and staff knew how to meet their needs. As people were unable to fully communicate, staff had a good understanding of people’s body language and facial expressions to ensure they responded appropriately.
People were cared for by a long serving staff team who were dedicated to support them to live meaningful and fulfilling lives. Relatives were positive about the relationships staff had developed with their family members.
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 supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The provider acknowledged that recent changes in management had led to some shortfalls in the monitoring of the service. A new manager had just started and an action plan was in place for issues to be addressed.
We have made a recommendation about the effectiveness of their quality monitoring.
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 23 March 2017). Since this rating was awarded, the registered provider of this service merged with another provider and altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.