Supported Living and Domiciliary Care Service

The supported living accommodation had a staff office and people had their own flat which were shared with either two or four people. The service supported people with a range of needs which included learning disabilities, autism, epilepsy and physical disabilities.

People told us they felt safe and systems were in place to safeguard people. Risks to them were identified and managed. The support required with medicines was assessed, agreed and provided to people. Infection control measures were in place to prevent cross infection. Staff were suitably recruited. People were supported by a consistent staff team and the staffing levels were flexible to enable the service to provide a bespoke service to people.

People were supported by staff who were inducted, trained and supervised. The support required by people with health and nutritional needs was identified and provided. 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.

People confirmed staff were kind and caring. Their privacy and independence were promoted. Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if they needed to.

People had person centred care plans in place. They were actively involved in their care and contributed to the development of care plans and reviews. Some people had staff support to access activities and holidays. This was flexible and provided in response to people's choices. People's communication needs were identified, and their end of life wishes were explored and recorded.

People were supported by a service that was well managed. Records were organised, accessible and up to date. The service was audited, and action taken to address any areas they had identified that needed improving. People and staff were complimentary of the management team and described them as "Accessible, approachable, caring and positive role models". Staff felt empowered and committed to providing good outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk