Amber Rose Healthcare Ltd

The service provides care at home and supported living for people with mental health needs, learning disabilities and autism. Our assessment considered the principles of Right support, right care, right culture.

This report relates to the service provided to people using the supported living service.

The culture at the service was open and transparent. Staff described an open-door policy and felt comfortable raising concerns.

Quality monitoring systems were in place, but audits needed to be more robust and clearly identify what had been checked. The registered manager was committed to ongoing improvements. They made changes to the audit system and provided evidence to the Care Quality Commission about how audits would be carried out in the future.

Overall, the leadership and governance arrangements supported safe, effective and person-centred care, with a clear focus on continuous improvement.

Staff demonstrated a clear understanding of safeguarding and were confident concerns would be acted upon. Risk assessments were in place and regularly reviewed. Medicines were generally well managed, although some protocols needed to be more personalised to ensure staff knew how individuals expressed their needs for as-required medicines. Amendments were made to these protocols before the end of the assessment.

Care plans were person-centred and regularly updated. We saw evidence of positive outcomes, including support for community activities and independence through appropriate equipment and professional input. Staff encouraged choice and respected people’s preferences. People and relatives were positive about the care provided.

Recruitment was mostly safe, but checks on about a new employees’ previous employment dates and references needed tightening. The registered manager made the appropriate checks before the end of the assessment and provided evidence of the action they had taken.

Training compliance was high, and staff felt supported with supervision and development opportunities. There was good team communication and clear policies for emergency situations.