We carried out a review of the data available to us about Actual Care Services 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 Actual Care Services Ltd, you can give feedback on this service.
About the service
Actual Care Services provides personal care and support to one person in a supported living setting and personal care to 16 people living in their own homes.
People’s experience of using this service and what we found
Right Support
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. Staff supported people to have the maximum possible choice, control and independence over their own lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people to achieve their aspirations and goals. Incidents of restraint had reduced as staff knew people well and were able to use distraction techniques successfully. The provider made reasonable adjustments for people so they could be fully in discussions about how they received support, including support to travel wherever they needed to go and support to attend meetings to discuss their care. Staff enabled people to access specialist health and social care support in the community. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
Right Care
Staff promoted equality and diversity in their support for people. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The provider had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff received additional specialist training in autism following the inspection. People who had individual ways of communicating, using body language, sounds, could interact comfortably with a consistent group of staff who knew them well. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
Right culture
People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff understood people’s cultural needs and provided culturally appropriate care. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff placed people’s wishes, needs and rights at the heart of everything they did. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. The provider enabled people and those important to them to worked with staff to develop the service. Staff valued and acted upon people’s views. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
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 the service at the previous premises was good published on 10 November 2018.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
We received concerns in relation to staff recruitment and people being supported by adequate numbers of skilled staff. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Actual Care Services 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.