We carried out a review of the data available to us about Leaf Complex Care Exeter 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 Leaf Complex Care Exeter, you can give feedback on this service.
About the service
Leaf Complex Care Exeter provides care and support to people living in their own homes, so that they can live as independently as possible. This is most often provided with 24-hour complex care packages. 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 three people receiving a service.
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, right culture. People and relatives spoke of how the service went above and beyond when delivering care. For example, “I think they are amazing. I am lucky I have such good carers for him. They are all really skilled”, “Staff are a little bit fabulous. It is a really good team. They are very tuned in to [person’s name]’s needs, very caring and supportive. They are very knowledgeable. They know about autism” and “I think they are brilliant. I tend to see the same carers, and they are really good. They are on point with his needs. He likes them.”
Right support: Model of care and setting maximises people’s choice, control and Independence;
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 enabled people to broaden their horizons and develop new interests and friends. Staff wanted people in the community to enjoy peoples’ company and see them as individuals. For example, one staff member was part of the “speedway community” and [person’s name] frequently went to races. They had special ‘shout outs’ and had become a well-known and friendly face in that community.
People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. One person commented, “I have no concerns and I have confidence in the staff. I speak to [registered manager] every day. [Registered manager] and my staff know when I am upset.” A relative commented, “I have no concerns about the service.”
People lived safely and free from unwarranted restrictions because the service assessed, monitored and managed safety well. There were comprehensive risk assessments in place covering all aspects of the service and support provided.
Medicines were managed as necessary with the focus on medicines optimisation. Infection control measures were in place.
Care files were extremely 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.
There were effective staff recruitment and selection processes in place with bespoke staff teams supporting named individuals. Excellent staff support and the ethos of valuing staff individually for their achievements resulted in good staff retention.
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. The value concept of ‘family’ saw people, staff and families working as a team. Staff said, “It means a lot to me to see such a well organised, caring, well-structured provider that actually cares about the people they support.” Leaf Complex Care Exeter also supported people in a holistic way, observing when families required additional support.
A person commented, “The staff are really nice, lovely. They are caring and always help me out. I go out almost every day, I love it.” A relative commented, “They [staff] are very good with [relative], they know him so well.”
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 of ‘Family, Impact and Teaming’ 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 Leaf Complex Care Exeter and referred to with all interactions and training. For example, people were constantly encouraged to lead rich and meaningful lives and the company continued to learn from its staff in a two-way conversation for the benefit of people receiving a service.
People were supported by staff who had received relevant and good quality training in evidence-based practice. This included training in the wide range of strengths and impairments people with a learning disability and or autistic people may have, mental health needs, communication tools and positive behaviour support. Specialist roles were created in-house to further benefit people.
The provider worked hard to instil a culture of care in which staff truly valued and promoted people’s individuality, protected their rights and enabled them to develop and flourish.
Staff felt extremely respected, supported and valued by the provider which supported a positive and improvement-driven culture.
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 5 July 2021 and this is their first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.