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
Carmel Care and Support Teignmouth is a supported living service, providing care and support to up to 14 people living in 2 adjoined buildings. Each person had a tenancy. The service provided 24-hour care and staff were continuously on-site. 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 inspection, 5 people received the regulated activity of personal care.
People’s experience of using this service and what we found
The service demonstrated how they met the principles of Right Support, Right Care, and Right Culture.
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. People were encouraged to take part in activities they enjoyed and staff supported people to pursue their interests. Staff knew people well and knew how to keep people safe from abuse and avoidable harm. A relative told us “I don’t have any concerns about the service.” Medicines were managed safely. Infection control measures were in place.
Right Care:
People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to. We observed warm and friendly interactions between people and staff. Feedback to the service received from a healthcare professional stated, "It actually does feel like a home, not an 'institute'." Staff were patient and used appropriate styles of interaction with people.
The service met the needs people using the service, including those with needs related to protected characteristics. One relative told us “I believe they continue to meet [person’s] needs as they change.” Another told us “[Person] is very happy, [person’s name] has been there since 1999, this is their long term home, they are [person’s] family and friends.”
Right Culture:
The registered manager 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. The registered manager told us as a service they focussed on helping people to succeed.
Staff felt respected, supported and valued by senior staff which supported a positive and improvement-driven culture. One staff member told us, “[Registered manager] is absolutely amazing. She supports her staff.” They told us the registered manager was always available to provide help during the day and always responded when she was on call out of hours
A family member told us the care their relative received was, “Excellent, very good, they go above and beyond.” Another told us, “I feel the care is exemplary. It is an excellent example of a care home, we feel very fortunate that [person] is living there.”
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 27 October 2021 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 28 April 2018.
Why we inspected
This was a planned inspection to check whether the provider was meeting legal requirements and regulations, and to provide a rating for the service as directed by the Care Act 2014.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.