Select Support +

Updated 2 August 2024

Select Support + is registered to provide a domiciliary care service that provides personal care and support to people living in their own homes. During the assessment we identified they were also providing a supported living service. 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 the assessment, the service supported 4 people who received personal care. We carried out an assessment which started on 6 August and ended on 23 August 2024. This was the first assessment since registration. We found 1 breach of the legal regulations in relation to governance. Systems and audits were not effective in identifying or addressing areas for improvement. Safe recruitment procedures were not always followed, and improvements were needed to ensure staff were trained and competent. Improvements were needed in relation to risk management and care planning. Not all risk related to people were assessed and improvements were needed in medicines management to ensure staff had access to consistent and up-to-date information. There were sufficient and consistent staff to provide personalised care and support. Staff promoted choices and independence and worked around people’s preferred routines. Staff did everything they could to avoid restraining people. The service recorded when staff restrained people, and learnt from those incidents and how they might be avoided or reduced. The ethos of the service was to provide person-centred care and promote people's independence. The management team were open and transparent throughout our assessment. They were responsive to feedback given and started making changes to improve the service. We have asked the provider for an action plan in response to the concerns found at this assessment.

Updated 2 August 2024

We expect 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 judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. People and relatives were positive about the service. People felt safe with the staff who supported them, and looked comfortable and relaxed in the company of staff. One relative told us, “I can trust the staff, no worries with [relative] with them.” People and relatives told us they were involved in planning their care. One relative told us they were “involved in that right from the beginning.” People were able to make choices about their day to day lives. People and relatives felt able to raise any concerns, and were confident that any issues would be addressed. One person commented, “Yes” when we asked them if staff listened to them. People told us they were happy and liked the staff. People and relatives told us they were supported by a small team of people and were involved in recruiting these. Relatives told us because of this they knew their relative well and would be able to immediately identify any concerns.