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.About the service
ENS Care & Support provides personal care and support to people living in their own homes or within a supported living setting.
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 our inspection 59 people were using the service, of which 28 were receiving personal care.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right support
• People were supported to have choice, control and independence.
• People were supported by staff to pursue their interests and maintain relationships with family and friends.
• Staff enabled people to access specialist health and social care support in the community.
• Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
Right Care
• People received kind and compassionate care. Staff respected people’s privacy and dignity and promoted their independence.
• People who had individual ways of communicating, such as using body language, pictures and symbols could interact comfortably with staff and others involved in their care because staff had the necessary skills to understand them.
• People’s care plans reflected their range of needs to guide staff on how to promote their wellbeing and enjoyment of life.
• Potential risks to people had been identified, assessed and managed to reduce the risk of harm.
Right culture
• People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
• People received good quality care and support by trained staff.
• Staff placed people’s wishes, needs and rights at the heart of everything they did.
• Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
We received largely positive feedback from people, relatives and health and social care professionals about the quality of care people received. However, we received mixed feedback regarding staffing levels.
Robust systems were in place for the recruitment of staff.
Staff received regular supervision and on-going training which promoted people’s health, safety and welfare. Staff felt valued and supported and enjoyed working at the service.
The provider had systems and processes in place to regularly monitor the safety and quality of the service to drive improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 February 2020).
At our last inspection we recommended the provider reviewed if restrictive interventions had been used when incidents occur, in line with best practice. We also recommended the provider ensured staff had behaviour support training in line with current best practice. At this inspection we found the provider had acted on these recommendations and had made improvements.
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.