Princes Crescent is a supported living service providing personal care and support to six people with a learning disability. The premises consists of three self-contained flats and three bed-sits. There is an office with a room for staff who sleep-in at night. People’s experience of using this service and what we found
The provider’s systems were not consistently effective in providing the registered manager with clear oversight of risks. This meant that they could not be assured that all risks to people, including restrictive practices, were effectively and consistently managed.
Staff understood their responsibilities for safeguarding people and risks to people were identified and managed effectively. People were receiving their medicines safely and infection prevention and control practices were safe and in accordance with government guidance.
People’s needs and preferences were considered and care plans were clear and detailed to guide staff in how to provide care safely and in the way that people preferred. Staff had received the training and support required to support people’s needs. People were supported to have enough to eat and drink and to access health care services.
Staff were kind and caring and people and their relatives told us they were happy with the care provided. One relative said, “They couldn’t do more than they are doing.” Staff respected people’s views and supported them to remain independent. Staff had identified changes in people’s needs and care plans had been adjusted to ensure they continued to receive the support they needed.
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 this practice.
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
Right support:
• Model of care and setting maximises people’s choice, control and Independence. People were receiving a personalised service and were supported to develop and maintain their independence. Staff supported people to make choices and to remain connected with their family, friends and the local community.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights. People were supported to lead full and active lives and to take part in activities that were meaningful to them. Staff were kind, respectful and treated people with dignity.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. Staff described a positive culture where learning was encouraged.
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 25/11/2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.