Consummate Care Ltd

Consummate Care is a supported living service providing personal care to people in their own homes. The service provides support to people with learning disabilities and autistic people. At the time of our inspection there were 16 people using the service.

People’s experience of the service and what we found:

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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: People received personalised care and support from dedicated staff who had formed positive, close relationships with them. With the right support people flourished in aspects of their lives, growing in self-confidence, developing skills and being enabled to maximise opportunities that would not otherwise be available to them. People were supported to achieve their aspirations. People were supported holistically and enabled to access specialist health and social care support when this was needed. People played an active role in maintaining and improving their health and wellbeing.

People were supported to have autonomy, choice and control of their lives, 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: People being supported by Consummate Care were given care and support which promoted their dignity, privacy and human rights. People were supported to develop skills and independence, from completing their own personal care to learning household tasks. People received care and support from exceptionally kind and compassionate staff. Staff were extremely vigilant, responded to people's individual needs and focused upon supporting them to achieve a full and enriching quality of life.

Right Culture: There was an embedded culture of people being at the heart of the service. The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive lives. People received support based on transparency, respect and inclusivity. The registered manager and staff worked hard to instil a culture of care and good teamwork. Staff valued and promoted people's individuality, protected their rights and enabled them to develop and flourish.

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 Outstanding (published 30 October 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Consummate Care on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

There was a manager in post who had applied to become the registered manager. There had been a restructuring process in place and the previous registered manager was still an active business manager with in the service, which ensured people received consistent care and support during the management changes. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service demonstrated an excellent commitment to providing outstanding care which was embedded into the practices of the staff and the management team. The service put people’s views at the forefront of the service and designed the service around their needs.

Staff were encouraged and enabled to work creatively which achieved consistently outstanding outcomes for the people receiving care and support. There was a strong system of quality assurance led by the provider and manager that ensured people consistently received exceptional care and support.

The people receiving care from Consummate Care had an enhanced sense of well-being and quality of life because staff worked innovatively to enable people to have meaningful experiences and to become active members of the local community.

Staff were empowered to work creatively and to develop positive therapeutic relationships with people. Staff were proud of the support that they provided to people and the positive outcomes that they had observed. People had been supported to make their accommodation a home that they were comfortable living in.

Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals to the court of protection if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty.

People were supported to use communication aids and information was provided to people in an accessible format to enable them to make decisions about their care and support. The people supported by Consummate Care had complex needs and people who demonstrated behaviour that may challenge services received care that was based upon best practice guidelines that met their individual needs and successfully reduced instances of incidents within people’s home.

People were at the heart of the service and staff were committed to enabling people to live full, varied and fulfilled lives. People were supported in creative ways to continue to achieve their aspirations and have new experiences.

Staff demonstrated the provider's values of offering person centred care that respected people as individuals in all of their interactions with people. People, their relatives and the professionals involved in people's care consistently told us that the service achieved exceptional outcomes for people.

People could be assured that they would be supported by sufficient numbers of staff. A number of people within the service received care from staff on a one to one basis and records showed that people received their care in the way they needed to maintain their safety.

People's health and well-being was monitored by staff and they were supported to access health professionals in a timely manner when they needed to. People were supported to have sufficient amounts to eat and drink to maintain a balanced diet.

People experienced caring relationships with staff and good interaction was evident.