Three Sisters Care Ltd

People were supported by safely recruited staff who received training and guidance for their roles and responsibilities. Staff received supervision from their line managers and the provider was working towards ensuring staff received sufficient supervision.

The service was not consistently well-managed. Although people were asked for their views about the quality of their care and support and found the office team helpful when they had enquiries, people did not receive sufficient visits to their homes to check how staff supported them. The provider's own quality monitoring systems did not always identify the shortfalls we found.

Staff received safeguarding training and knew how to protect people from the risk of abuse, harm and neglect. People received safe support when taking their medicines.

People were supported to meet their nutritional and hydration needs where this formed part of their agreed care plan.

Staff were aware of people's rights under the Mental Capacity Act 2005 and supported people to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and/or who are autistic.

People and/or their relatives where applicable were supported to take part in the planning and reviewing of their care and support, if they wished to. Care and support plans showed that people were consulted about their needs, wishes and aspirations.

People knew how to make a complaint and were confident the manager would act professionally and swiftly to investigate and resolve their concerns.