Positive Care and Support Ltd

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.

Right Support: The service faced challenges in recruiting appropriately skilled staff who could be matched to the people receiving support. There were, however, enough staff to ensure people's needs were met safely. There was on-going recruitment for permanent staff, in the meantime consistent agency staff were being used whenever possible. Agency staff were supervised and had their competency to support with medicines assessed in the same way as directly employed staff. There were occasions when agency staff were introduced who did not know people well, but they were given information about people's needs.

We have made a recommendation about consistency of staffing and support.

People were supported to take medicines safely. Staff helped people to live as independently as possible. 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. Staff supporting people knew people's risks and how to manage these safely. There was a culture in place where staff felt comfortable in raising concerns if they had them.

Right Care: People using the service were able to express their own views. When things went wrong, actions were put into place and lessons learned were shared with staff to improve the standard of care delivered. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff worked with health professionals where they had concerns about people's health.

Right Culture: Staff understood and spoke positively about the importance of person-centred care and

helping people to live as independently as they wished. Work was ongoing to establish people's goals and work towards achieving these. The management team understood their roles and responsibilities and there were governance systems to support this. The service had only been supporting people since July 2022 and some systems and processes were in development. For example, although some feedback had been collected about the service, satisfaction surveys were being sent out for the first time.