About the service Station Close is a supported living service providing personal care and support for people with a learning disability and/or autistic people. Support was provided to two people across two sites in Horsham. One person had their own flat in a supported living setting, the other lived in a bungalow.
Not everyone who used the service received 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
People were supported safely. Staff were aware of risks to people’s health and well-being. Support plans detailed how to minimise those risks. Staff were recruited safely. Medicines were managed safely and where possible, people were supported to be in control of their medicines. Staff followed infection prevention and control procedures.
People's needs were assessed, and support plans focused on promoting people's independence. Staff received training that was relevant to the people they supported. Staff worked with other agencies to provide consistent and effective care. We saw that people were offered choices about all aspects of their support and how to spend their time.
People's equality and diversity was respected by staff and staff understood the importance of providing the right level of support people at the right time. People were supported to express their views about their support. Staff promoted people's independence.
People's support was personalised, and staff knew people well. Staff were knowledgeable about people's communication needs and communicated with people effectively. People were encouraged and supported by staff to do what they enjoyed such as going to a drama club and going for walks.
People, relatives and staff were positive about the culture and management of the service. Quality assurance processes were in place to provide good governance of the service. Staff worked in partnership with people and those important to them to help them to be as independent as possible.
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 did this practice.
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.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and independence. People were positive about where they lived and their experience of the support provided. One person told us, “I'm really enjoying living there. I like having my own personal space.” We observed that people were offered choices by staff about what the person wanted to do and how they wanted to spend their time.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights. People’s relatives were positive about the level of support provided to people and felt that staff understood people well. One relative told us, “I feel that one staff in particular is able to understand [person] very well, they're [person's] keyworker and can't do enough for [them]” Another told us, “What makes the place special is the attitude of staff, they know when [person] needs more support than normal and are happy to provide it.”
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. Staff were spoke positively about people and about what people had achieved, they spoke proudly about their role in supporting people to be independent. The culture of the service was relaxed and friendly. Relatives were positive about the management of the service, one told us, “They keep me up to date with how [person] is and the communication is really good.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 25 November 2019 and this is the first inspection.
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.