Premier Care

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.

The provider had resolved concerns raised at our last inspection. They were committed to developing flexible care which met the needs of the local community. They worked well with other organisations to achieve this aim, in particular in enabling people to return home safely from hospital.

Recruitment processes had improved. The service had enough appropriately skilled staff to meet people's needs and keep them safe. Staff were largely positive about the service. The provider had introduced a new role of care coordinator to support staff wellbeing.

The provider had a range of quality checks which helped senior staff ensure care was safe and met people's needs. The registered manager took prompt action when concerns were raised.

The registered manager minimised risk across the service. Risk assessments were personalised, and care plans had been improved to provide staff with detailed guidance on how to support people safely.

Safeguarding practices protected people from the risk of abuse. Senior staff were working to ensure staff felt able to speak out when they had concerns. Staff supported people to take their medicines safely, and as prescribed. Staff minimised the risk of infection.

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.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' 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.

The provider demonstrated an understanding of Right support, right care, right culture. Although very few people with a learning disability and autistic people were supported by the service, the provider had systems in place to ensure their needs were met in a person-centred manner.

Right Support: Staff focused on people's strengths and promoted what they could do.

Right Care: People's care and support plans reflected their range of needs.

Right Culture: People's quality of life was enhanced by the service's culture of improvement and inclusivity.