TNCT Supported Living

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.

Care and support were planned to ensure people's needs and wishes were taken into account. Risks were assessed and carefully monitored to ensure individuals and staffs safety.

People were supported to take their medicines when required. Staff received training and support to ensure the medicine records were accurate and up to date.

Staff were knowledgeable about people's needs wishes and preferred routines. Staff said they had been given a comprehensive induction, ongoing training and support which enabled them to do their job safely and effectively.

People's healthcare, nutritional and mobility needs were fully considered and where needed monitored. Staff ensured people were supported to maintain a healthy balanced diet and to attend any healthcare appointments when needed.

Systems were in place to ensure quality monitoring was embedded and this included seeking the views of people, staff and other professionals.

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 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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Right support: • Model of care and setting maximises people's choice, control and independence. People had individual tenancies in their own home or small home with a few others. Care and support had been developed around individual assessed needs. Staff worked in a way which promoted people's independence. For example, one person said "Sometimes I do things with (name of person sharing their tenancy), but sometimes I do my own thing. Staff help me to choose what I would like to do and then we do it. I love shopping and I am hoping to go back to college." Right care: • Care is person-centred and promotes people's dignity, privacy and human rights People said their privacy and dignity was always respected. For example, staff always knocked on their door. Staff did not just enter the person's home. Plans were person centred and ensured the individual was fully involved in the development and review of their plan as far as possible. Training and support for staff ensured human rights was at the heart of the delivery of care and support. Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives The ethos of the supported living service was to develop support packages which suited individuals and helped them live the best life possible in an area they wished to live. They organisation have taken time to develop their plans, ethos and staff teams so that they can ensure they are fulfilling what people actually want and need. They were working with housing providers to develop the service further but at a pace which ensured as new projects came on line they had the right staff with effective training and leadership. To this end they have employed two registered managers and used a consultant to help develop the service over the last year. Although this service had been registered for over a year, they have taken a planned slow approach to make sure they had the right support in place.