Courtcare Flexi

Not 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. At the time of inspection young adults with physical and/or learning disabilities who were living at home with their parent(s) received packages of support which included personal care.

Relatives told us their family members were supported to decide on their chosen activities and meals and how they wanted their care to be delivered. People were supported by staff to pursue their interests and to achieve their aspirations and goals.

People could communicate with staff and understand information given to them as staff supported them consistently and knew them well. People received care that focused on their quality of life and followed best practice.

Right Care Improvement had been made to the risk management systems. Risks were assessed and there was detailed guidance for staff on how they should provide safe care which mitigated known risks. Young people who showed distressed behaviour had a detailed positive behaviour support plan in place. Training for staff who were involved in physical intervention was up to date.

Staff understood how to protect people from poor care and potential harm. Staff had training on how to

recognise and report abuse and knew how to report any concerns. There were sufficient numbers of staff who were appropriately skilled to meet people's needs and keep them safe.

Staffing numbers were appropriate to keep people safe and the registered provider followed thorough recruitment procedures to ensure staff employed were suitable for their role. There were systems in place to ensure people were protected from the spread of infections.

Right Culture Improvements had been made to the providers governance systems. Staff supervision and staff meetings took place regularly and used to develop and motivate staff, review their practice or behaviours, and focus on professional development.

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.

Care plans had been improved and were person centred with detailed information and guidance about people's likes, dislikes, preferences. People and their relatives were involved in planning all aspects of their care and support and were able to make changes to how their care was provided.

Records were regularly reviewed to ensure care met people's current needs. This helped to provide staff with up to date information about how each person's support was to be delivered. People's dignity and human rights were promoted, and people were encouraged to make decisions about their day to day routines.