Orwell Central Supported Living Domiciliary Care Service

At the time of this inspection they were 10 people who received personal care. They were being supported to live independently within the local community, in three shared accommodation properties and one single household flat.

CQC only inspects where people receive a regulated activity of 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 care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked only at people's personal care and support.

Right Support We observed people were comfortable in the company of the staff who supported them; interactions were engaging and meaningful. Staff understood how best to communicate with people, using body language, sounds and pictures to aid understanding where required. People were assisted by staff to manage their own health care needs. Staff worked with other health and social care professionals to support people to achieve good outcomes and enjoy a person-centred quality of life.

People were encouraged and supported to be independent and to engage in activities and interests that were important to them. Staff demonstrated how they ensured people received care that met their diverse needs, including protected characteristics. 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 received person-centred care that met their individual needs. Staff observed people's privacy, dignity and confidentiality and treated them with respect. There were enough suitably trained, recruited and supervised staff to meet people's needs. Risks to people were regularly monitored and assessed and adapted where needed. People's nutrition and hydration needs were met and trained staff safely administered medicines to people.

Right Culture: A person-centred culture was evident in the service. Feedback from people, relatives and staff was sought and acted on. Staff worked well with each other and morale was good. Complaints, concerns, accidents, incidents and safeguarding issues were appropriately reported, recorded and investigated. This included lessons learnt to mitigate risk and prevent reoccurrence. Governance frameworks were in place to underpin the development of the service and ensure people received good quality of care.