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.About the service
Credence Care Ltd provides care and support to people living in three ‘supported living’ settings, so that they can live as independently as possible. 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. There were currently eight people receiving a service.
People’s experience of using this service and what we found
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.
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 felt safe and supported by staff in their homes. A person commented, “I feel safe. I don’t worry too much.” A relative commented, “(Relative) is definitely safe. The staff are fab. I have no concerns.” A health professional commented, “(Registered manager) follows process regards to safeguarding. I have no concerns.”
Care files were personalised to reflect people’s personal preferences. Their views and suggestions were taken into account to improve the service. People were supported to maintain a balanced diet. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.
Staff demonstrated an understanding of what might constitute abuse and knew how to report any concerns they might have. Medicines were managed as necessary. Infection control measures were in place.
People’s individual risks were identified, and risk assessment reviews were carried out to identify ways to keep people safe.
There were effective staff recruitment and selection processes in place.
Right care: Care is person-centred and promotes people’s dignity, privacy and human rights;
Staff relationships with people were caring and supportive. Staff provided care that was kind and compassionate. Comments included, “I am happy here, we have nice staff” and “We have a chat, staff are good at supporting me when I am down.” Relative comments included, “Caring and kind staff. I can't praise Credence enough.”
Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
People’s equality, diversity and human rights were respected. The service’s vision and values centred around the people they supported. The organisation’s statement of purpose documented a philosophy of maximising people’s life choices, encouraging independence and people having a sense of worth and value. Our inspection found that the organisation’s philosophy was embedded in Credence Care Limited. For example, people were constantly encouraged to lead rich and meaningful lives.
The registered manager had identified that staff induction, training and supervision were in need of improvement in line with their policies. They had already recognised this as an area for improvement and was prioritising them. Staff felt the training they had received equipped them to do their jobs. Staff confirmed that they were supported in their roles. A staff member commented, "I feel very much supported by (registered manager).”
Staff spoke positively about communication and how the registered manager worked well with them and encouraged their professional development.
A number of methods were used to assess the quality and safety of the service people received. The service made continuous improvements in response to their findings.
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 11 December 2019 and this is their first inspection.
Why we inspected
This was a planned inspection.
We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture.
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.