IntegraCare (Supported Living)

This service provides care and support to people living in a 'supported living' setting, 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. Some of the people supported were living at home with their families. On the days of the inspection there were 29 people using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good overall however the Responsive key question had improved to outstanding. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service was extremely person-centred. Person-centred means ensuring the person is at the centre of any care or support and their individual wishes, needs and choices were considered.

The service went the extra-mile for the people they supported and was extremely responsive to people's changing needs. People were protected from social isolation and had become an integral part of the local community.

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

Accidents and incidents were appropriately recorded and investigated. Risk assessments were in place for people who used the service and described potential risks and the safeguards in place to mitigate these risks. The registered manager understood their responsibilities with regard to safeguarding and staff had been trained in safeguarding vulnerable adults.

Appropriate arrangements were in place for the safe administration of medicines.

The provider had an effective recruitment and selection procedure in place and carried out relevant vetting checks when they employed staff. Staff were supported in their role via appropriate training and regular supervisions.

People were supported with their dietary needs. Care records contained evidence of people being supported during visits to and from external health care specialists.

People and family members were complimentary about the standard of care provided by IntegraCare (Supported Living). People were given information in a way they could understand. Staff treated people with dignity and respect and helped to maintain people's independence by encouraging them to care for themselves where possible.

People and family members were aware of how to make a complaint. The provider had a robust quality assurance process in place. People, family members, staff and visiting professionals were regularly consulted about the quality of the service.

The five questions we ask about services and what we found