Com Safer Care Ltd

Com Safer Care Ltd is a domiciliary care service that provides care and support to people living in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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’s experience of using this service

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.

Right Support

Care plans did not include people’s preferences with personal care to ensure they received person centred care. We made a recommendation in this area.

Staff had completed essential training to perform their roles effectively. Staff were supported through regular supervision. People were able to choose where they lived. The supported living site was an ordinary house close to other residential and commercial properties, at the heart of the local community. People were supported to eat a balanced diet and were able to choose what they ate. People had access to health care professionals. Information was provided to people in a way that was accessible to them. Systems were in place for dealing with complaints. People were supported to maintain relationships with family and friends, and to engage in meaningful activities.

Right Care

Robust risk assessments were not in place to ensure people received safe care at all times. Medicines were being managed safely. People were protected from the risk of abuse. Steps had been taken to help ensure the physical environment was safe. There were enough staff working at the service. The provider had staff recruitment practices in place. Infection control and prevention systems were in place. Accidents and incidents were reviewed to see if any lessons could be learnt from them. Staff were caring and that they treated people with respect. Staff understood how to support people in a way that promoted their privacy, independence and dignity. The service sought to meet people's needs in relation to equality and diversity.

Right culture

Robust quality assurance systems were not in place to ensure shortfalls could be identified and action taken to ensure people were safe at all times. People were supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff told us there was an open and positive culture at the service. People were supported to express their views.

Systems were in place to ensure feedback was received from people on their care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This was the first inspection of the service since it registered with CQC on 2 September 2021.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

The overall rating for the service is Requires Improvement. This is based on the findings at this inspection.

You can read the report from our last inspection, by selecting the ‘all reports’ link for Com Safer Care Ltd on our website at www.cqc.org.uk.

Enforcement

We have identified a breach on good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.