Background to this inspection
Updated
29 July 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
One Inspector and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
The service had a manager registered with the Care Quality Commission. This means 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 a short period notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us
Inspection activity started on 19 May 2022 and ended on 31 May 2022. We visited the office location on 19 and 23 May 2022.
What we did before inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We reviewed information we held about the service including information about important events which the service is required to tell us about by law. We requested feedback from other stakeholders. These included the local authority safeguarding team, commissioning team, and Healthwatch Leeds. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and four relatives about their experience of the care provided. People who used the service used different ways of communication such as verbal communication, pictures, symbols and their body language.
We spoke with six members of staff including the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included three people’s care records and three medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We received feedback from two external professionals who had contact with the service.
Updated
29 July 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Creative support – Brandling Court provides care and support to people living in their own flats and shared accommodation within a supported living setting so they can live as independently as possible. The service provides support to people with a learning disability and autistic people who may have mental health needs. At the time of our inspection, there were fourteen people using the service.
Not everyone who uses this type of service would receive 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
Right Support
¿ The service was extremely caring. People were respected and valued as individuals.
¿ People's wellbeing was improved by exceptionally person-centred activity planning developed with exceptional attention to detail around their needs and preferences.
¿ There was an outstandingly flexible approach and people were directly involved in planning and reviewing their care.
¿ People's needs were assessed, and detailed care plans and risk assessments were in place to help staff support people in line with their preferences.
¿ 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.
Right Care
¿ The service has taken innovative steps to meet people’s information and communication needs and demonstrated an outstanding respect for people’s diverse needs and human rights.
¿ Risks to people's care were assessed and actions put in place to manage them. Positive risk taking was encouraged and supported by staff; relevant risk assessments and plans were in place.
¿ Medication was managed in a safe way. People were encouraged to self-manage their medication and there were checks in place to ensure this was done safely.
¿ The management team were aware of their safeguarding responsibilities; appropriate referrals had been made when required. Staff's knowledge and competence in this area was assessed regularly.
Right Culture
¿ There was a strong person-centred culture.
¿ People told us staff were exceptionally kind and caring.
¿ Care was delivered in a person-centred way around people's needs, preferences and their desired outcomes.
¿ People, staff and the management team told us how people and staff had established good working relationships of trust and support.
¿ Staff worked with people to empower them to make their own decisions about their care.
¿ People’s quality of life was promoted by staff who knew them well and respected their particular characteristics and preferences.
¿ The management team were knowledgeable and passionate about delivering quality care centred around people's needs and preferences.
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 on 19 September 2018).
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture.
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.