About the service Creative care Limited provides care and support to older people and people with a learning disability living in their own homes. At the time of our inspection the service was supporting 28 people.
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.
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.
People’s experience of using this service and what we found
Right Support:
Safe recruitment procedures were consistently followed. Staff received an induction, completed training and shadowed experienced staff before lone working with people.
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 his practice.
Staff supported people in a person-centred way. Staff understood people’s communication needs and adapted how they communicated with people to ensure information could be understood.
People and their relatives knew which staff were coming to each support call. We were told staff turned up on time, stayed the allocated amount of time and supported people and their families in a flexible, responsive way.
Right Care:
People were protected from potential abuse by staff who completed safeguarding training and understood the signs and symptoms of abuse and knew how to report any concerns.
Relatives were complimentary about the staff. Staff were described as kind, friendly, supportive, professional, gentle and compassionate.
Right Culture:
Improvements were required to ensure systems and processes to assess and monitor the service were in place and effective. Improvements were required to ensure people and their relatives who contacted the service received a timely response.
Staff felt respected and supported within their roles and were able to raise any concerns they may have. Information was shared with staff to make improvements to the service.
Relatives were kept up to date on any changes, accidents or incidents that may occur. People and relatives were involved in the care planning and support offered.
The registered manager and provider had a clear vision for the direction of the service that demonstrated ambition and a desire for people to achieve the best outcomes possible. The registered manager set a culture that valued reflection, learning and improvement. They were receptive to challenge and welcomed fresh perspectives.
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 13 September 2018).
Why we inspected
We received concerns in relation to staffing and care visit times. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Creative Care Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.