Great Prospects Care Ltd

‘Right Support, right care, right culture’ (RSRCRC) is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people, and providers must have regard to it. We have assessed the service against ‘Right Support, right care, right culture’ (RSRCRC) guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At our last inspection, we found breaches of legal regulations relating to safe care and treatment and good governance. This inspection was carried out to see if the provider had improved in the way they told us they had, and to determine whether the provider remained in breach of these regulations or not.

We found a marked change in the quality of care provided by Great Prospects Care which had resulted in a positive impact on people, staff and an improved culture. The provider demonstrated that improvements had been made, and therefore, following this inspection, the service is no longer rated as requires improvement overall or in any of the key areas.

People were protected from avoidable harm because clear, comprehensive, person-centred and up-to-date risk assessments were in place, which staff followed closely. Systems and processes to audit and check the safety of both services were in place, and any outstanding actions and/or lessons learned were followed up and embedded into staff practice.

Staff had been recruited safely and were supported to receive the necessary training and development for their role, resulting in a competent and confident workforce. Staff had undergone safeguarding training and put this into practice by demonstrating a good knowledge of which types of concerns needed reporting.

Medicines practice was safe, and staff worked closely with external health professionals to ensure people received appropriate and timely care from various teams when they needed it.

We found sufficient staff on duty in both services throughout our inspection which meant that people did not have to wait for care.

Staff took time to get to know people, and they understood the need to obtain consent or make decisions in a person’s best interests should they lack capacity.

The provider had systems and processes in place to understand the diverse health and care needs of people in their care.

Staff told us how much they enjoyed working at the service and that they felt fully supported by the management team who were approachable, proactive and listened.