Community Support Services Micare

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. At the time of the inspection all 14 people using the service were receiving help with personal care

People and their relatives gave us very positive feedback about the service. We found the service to be exceptionally well-led. Staff and the registered managers had implemented systems and processes to create innovative solutions to help people to remain independent and living at home for as long as possible.

Staff and the registered managers spoke with passion and pride about their roles. Staff had been supported to develop and grow within their roles which gave them purpose. Systems and processes were implemented to make people's experience as positive as possible. Staff went over and above to support people to re- integrate into their communities.

There were systems and processes in place to protect people from the risk of abuse. When things went wrong there were effective methods to learn and implement improvements. Staff completed training about safeguarding and knew how to report abuse. Risks to people were fully assessed and measures were put in place to reduce them. Assessments contained enough information for staff to provide safe care. Staffing was assessed on a daily basis and packages of care were only supported when there were sufficient staff to meet people's needs.

People were supported to have maximum choice and control of their lives and staff supported support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People's needs, and choices were fully assessed before they received a care package. The care plans we

looked at were detailed and holistic, focusing on how people were supported to regain as much independence as possible.

Safe infection control procedures were followed. There were enough supplies of personal protective equipment (PPE) for staff.

There were enough staff to meet the needs of people using the service. The necessary recruitment checks were completed for all new staff. Staff received an induction and ongoing training which enabled them to build on their skills and knowledge to provide safe, effective care.

People were supported with their medicines and staff had been trained in the safe administration of medicines. People were supported to eat and drink enough to meet their dietary needs and staff provided support to assist people to regain independence with eating and drinking.

People were supported to live healthier lives and staff worked with a wide range of health and social care professionals to ensure good outcomes for people.

People and their relatives told us they were treated with kindness and compassion; their privacy was respected, and their independence was promoted. People knew how to make a complaint or raise a concern.

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.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.