Background to this inspection
Updated
8 May 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team consisted of one inspector.
Service and service type: The service provides personal care and support to people in a “supported living setting”, so they can live as independently as possible. Peoples care and housing are provided under a separate contractual agreement. The Care Quality Commission does not regulate premises used for supported living. This inspection looked at people’s care and support.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.’ The inspection site visit was completed on the 2 April 2019, phone calls to staff and relatives were completed on 3 April 2019.
What we did: Before the inspection, we reviewed information we held about the service. This included statutory notifications which are important events about the service which a notifiable by law. We used information to inform our inspection, from the Provider Information Return (PIR). This is information from the provider on what they do well and any improvements they plan to make. We also contacted the local authority for their comments on the service.
We reviewed two people's care files and associated risk assessments and health and social care information. We reviewed three staff recruitment records, induction, training and supervision records. We checked the audits in place to monitor and improve the service and any compliments and complaints received. We visited one property with people's permission and observed interactions between staff and people. We spoke to two people receiving personal care and support and three relatives. We also spoke to the registered manager, the service manager, a supporting manager and three staff members.
Updated
8 May 2019
About the service: Creative Support – Manchester Services provides personal care and support to people with learning disabilities, living in their own tenancies. At the time of inspection, the service was supporting five people living in two properties.
People’s experience of using this service:
People were supported safely and had appropriate risk assessment in place to reduce any risk. Staff members were knowledgeable of the risks people presented and could describe strategies reduce risk and ease anxieties.
Staff were recruited safely and were inducted into the service. Staff received regular supervision and training to enable to carry out their job role effectively.
People, their relatives and staff told us they would have no hesitation in report any concerns to the registered manager. Staff had received training in safeguarding vulnerable people from abuse and were confident the registered manager would act on any concern's raised.
People received a thorough assessment of their needs to ensure the service could meet their needs. People and their relatives felt involved in the assessment. Choices and preferences were captured and fed into care plans.
People were supported to manage their health needs and attended regular health surveillance appointments.
Healthy and nutritious diets were supported and people were encouraged to cook meals. Cultural diets were catered for.
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.
Our observations were that people were well cared for and people were at ease with the staff team. Relatives told us, their relative was well cared for.
Staff were kind and respectful to people and knew people well. A consistent staff team supported people effectively.
Care plans were detailed and person-centred and involved people and their families. Care plans set goals for people to work towards and were regularly reviewed.
Complaints were listened and responded to in a timely manner. Relatives told us they have open lines of communication with the registered manager which enabled any concerns to be dealt with quickly.
The service effectively supported people at the end of life. Care planning to support people at the end of life captured peoples choices and preferences. The service liaised with health professionals to ensure people were pain free and well cared for.
The registered manager and the wider management team had good oversight of the service. Regular monitoring to monitor and improve the service was in place.
The staff team felt supported by the registered manager and were able to attend regular staff meetings.
The registered manager was supported by a wider management team who had the skills and knowledge to support people with complex conditions.
Rating at last inspection: The last inspection of this service was on 22 and 23 September 2016 and was rated good in all of our key questions. The report was published on 2 November 2016.
Why we inspected: This was a scheduled inspection as part of our inspection process.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our programme of inspection. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk