Background to this inspection
Updated
23 September 2021
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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in seven 'supported living' settings, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal 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
This inspection was announced. We gave 48 hours' notice of the inspection as we needed to make sure the right people were available to answer our questions.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used information we had received through our ongoing monitoring of the service and feedback we received from the local authority and the community infection control team. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We visited the office and went to three of the supported living settings. The provider sent us a variety of documentation electronically. We spoke with three people who used the service. We made observations of the care provided and looked at documentation at the supported living setting. We spoke with members of staff including the registered manager, the service director and four care staff.
We viewed one person’s support plan, daily notes and medication records, one staff recruitment and induction file, training and supervision information, and a range of records used to monitor the quality and safety of the service.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found.
Updated
23 September 2021
About the service
Creative Support Bury provides care and support to people living in a number of 'supported living' settings, including houses and flats, so that they can live as independently as possible.
Not everyone who used the service received personal care. The Care Quality Commission (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 the inspection, the service was supporting eight people with their personal care needs.
People's experience of using this service and what we found
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.
This service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. People were at the centre of their care and were supported to be as independent as possible. People lived in a small, domestic setting and received support from staff who understood their needs and preferences. Managers and staff empowered people to their own decisions about their care and support.
Staff told us they understood their responsibilities in relation to safeguarding, and people using the service told us they felt safe when receiving care.
Medicines were managed safely. People received their medicines when needed and appropriate records had been completed. We saw people had access to healthcare professionals.
Risks to individuals and the environment were well managed. There were enough staff to meet people's needs. The provider learned from accidents and incidents to mitigate future risks.
Staff development was supported by a thorough induction, support from the management team and training relevant to the needs of the people they cared for.
Infection control procedures were robust and staff had taken additional measures to protect people from infection control risks associated with COVID-19.
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 did support this practice.
The provider's quality assurance systems monitored the service provided to people. These included obtaining feedback from people about their satisfaction with the service they received. Improvements to the service were promptly made when needed.
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 30 May 2019).
Why we inspected
This was a planned inspection
The overall rating for the service has remained the same. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.