Kelsam Support Services Ltd

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.

People were cared for and supported by a passionate and enthusiastic staff team led by a highly motivated management team.

Staff were trained with the required skills and knowledge to meet people's needs. Staff were recruited safely. The provider had robust recruitment processes in place to ensure only staff suitable to work with vulnerable adults were employed.

There was a strong person-centred culture established within the service. People received person-centred care that was tailored to meet their individual needs by staff that were caring, compassionate and kind. Staff knew people well and had formed positive relationships with them. Staff encouraged people to live as full a life as possible and supported them to achieve the best possible outcomes.

People and their relatives were involved in the care planning to ensure their decisions and choices were reflected. Care plans and risk assessments were detailed and documented people's history, likes/dislikes, routines and goals.

People were treated as individuals and staff respected the choices they made. People's social needs as well as their physical and emotional needs were incorporated into the plan of care and used to promote and maintain people's abilities and independence. People were supported and encouraged to maintain their hobbies and interests and to access employment opportunities.

Where required people were supported to prepare their meals and drinks. Staff understood and met people's nutritional needs.

Medicines were managed in a safe way. Where appropriate people were provided with the support they needed to take their medicines safely by staff who were trained and regularly had their competency assessed. Staff supported people to make and attend health appointments. The team worked closely with external health care professionals to ensure people's health needs were met.

Staff understood their roles and what was expected of them. They told us they were supported and could give feedback and make suggestions to the registered managers and their views would be listened to.

The registered managers were hands on, visible and available for support. They knew people and their relatives well. People and relatives said the registered managers were approachable and felt happy and comfortable talking to them at any time. One person said, "I'm happy to discuss anything with them [registered managers]. You can talk to them [registered managers], they are never too busy to help." People had access to information about how to raise a complaint.

The registered managers completed regular checks to make sure people received person-centred high- quality care.

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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The registered managers and staff team promoted a positive culture, they provided a service where people receive person-centred support that is appropriate and inclusive for them. People's support focused on people's strengths and promoted independence. People were supported to make choices, to maintain important relationships and to access their local community and local health services.