We carried out a review of the data available to us about Care Plus More Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Care Plus More Ltd, you can give feedback on this service.
About the service
Care Plus More Limited is a supported living service providing personal care to people with mental health needs and/or learning disabilities. The service can support up to 10 people in two houses, and at the time of the inspection, 10 people were living in the service. People had tenancies for their own individual en-suite bedrooms. There were also communal areas in the homes that included a garden, lounge, kitchen and laundry facilities. The service was staffed 24 hours a day, seven days a week.
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 inspection, 2 people received support with 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 and right culture.
Right Support
The service gave people care and support in a safe, clean and well-maintained environment that met their needs. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Risks to people were assessed and monitored. Medicines were managed safely, and staff enabled people to access specialist health and social care support in the community. People were supported to have the maximum possible choice and control, to be as independent as possible and to have control over their own lives. Staff supported people to make decisions and communicated with people in ways that met their needs. Staff also supported people to take part in activities and pursue their interests in their local area.
Right Care
Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. Staff understood and responded to people’s individual needs. For example, people who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care and support because staff had the necessary skills to understand them. People’s care plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
Right Culture
People received good quality care and support because trained staff and specialists could meet their needs and wishes. People and those important to them were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Relatives were satisfied with the care provided. The provider followed safe recruitment procedures. Staff were supported through an induction and training and told us they felt well supported.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 18 February 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 7 January 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve person centred care, safe care and governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.
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 changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Care Plus More Ltd 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.
Care Plus More Limited is a supported living service providing personal care to people with mental health needs and /or learning disabilities. The service can support up to four people and at the time of the inspection, four people were living in the service. People had tenancies for their own individual en-suite bedrooms. There were also communal areas in the building that included a garden, lounge, kitchen and laundry facilities. The service was staffed 24 hours a day, seven days a week
Only one person 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 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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support provided them with opportunities for them to gain new skills and become more independent.
People’s experience of using this service and what we found
During the inspection we found care plans and risk assessments were not always up to date with relevant information, which meant the person may not have been receiving the support they required. The provider had systems in place to monitor, manage and improve service delivery and to improve the care and support provided to people. However these were not always effective.
Safe recruitment procedures were in generally in place to ensure staff were suitable to work with people using the service, but the provider did not use application forms to help ensure continuity of information.
Staff knew how to respond to possible safeguarding concerns. Medicines were administered safely. Staff followed appropriate infection control practices to help prevent cross infection.
Staff were supported to provide effective care through induction, training and supervision. People's needs were assessed to ensure these could be met. People were supported to maintain health and access healthcare services appropriately. People were also 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.
Staff were respectful of people’s wishes and preferences and provided support in a respectful manner. Staff and relatives reported the registered manager was approachable and promoted an open work environment.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 08 December 2017 but was dormant until June 2019. This is the first inspection.
Why we inspected
This was the service’s first inspection.
We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Follow up
We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.