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
1st Enable Cheshire East is a supported living service providing personal care to 27 people at the time of the inspection.
People’s experience of using this service and what we found
Right Support:
Trained and competent staff supported people to manage their medicines. Medicine care plans held sufficient information to support staff to meet people's individual needs. Staff supported people to manage their medicines and promoted their independence where possible. The provider had used STOMP (stopping over-medication of people with a learning disability, autism or both) to reduce the use of unnecessary medicines.
People could choose their living environment and had personalised their living space. We received positive comments that included, “I’ve got my Flat how I like it.”, “I love my flat, I feel so safe here.” and, “I didn’t like the last place I lived in. I moved here a few months ago and I am so happy.”
People were supported to maintain their own health and wellbeing where possible.
People were supported by safely recruited regular staff who knew them well. Staff had the necessary skills and knowledge to meet their individual needs.
Risks to people's safety were assessed and monitored and people had personalised risk assessments in place.
People spoke positively about their participation in activities of their choice. People described the many activities they participated in including shopping, theatre visits, shows, café outings, volunteering opportunities and holidays.
People were supported with their communication needs. Staff understood individual communication styles. Information was made available in accessible formats, such as, easy read and pictorial.
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:
People described staff respecting their privacy and dignity. People told us staff were kind and caring.
Staff wore PPE (Personal protective equipment) in accordance with good practice guidelines and ample supplies were available. Staff had received training in infection prevention and control.
Staff had a good understanding of how to protect people from poor care and abuse. They were very clear of the actions they would take to keep people safe and were confident any concerns raised would be promptly acted upon.
People and their relatives had been involved in the development of their care plans. The plans were personalised and included information on people's healthcare needs, preferences, challenges and hobbies.
People could take part in activities and pursue interests of their choice. Comments from people included, "I went to see Abba Mania and danced all night." and "I love playing games on my computer."
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 Culture:
The provider and registered manager had developed a positive culture at the service and continually involved staff and people supported in its development.
People, their relatives and appropriate health and social care professionals fully participated in the review of people’s care plans and the support they received.
The management team undertook regular audits to look at ways of developing and improving the service.
Staff were complimentary about the management of the service. They told us they felt valued and were encouraged to raise concerns as well as new ideas with the registered manager.
Staff demonstrated a desire to make a positive difference to people’s lives and continually worked to improve people’s independence.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 26 March 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. 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, which will help inform when we next inspect.