About the service Brandon Trust Support Living - Bristol and North Somerset provides personal care to people living in their own homes. At the time of our inspection 162 people were being supported with personal care.
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.
Right Support:
• The service supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives.
• People were supported by staff to pursue their interests.
• Staff supported people to achieve their aspirations and goals.
• 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.
Right Care:
• 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. Staff had training on how to recognise and report abuse and they knew how to apply it.
• The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
• People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
• People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them.
Right Culture:
• People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
• People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.
• People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.
• Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
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 28 June 2018.
Why we inspected
We undertook this inspection to follow up on concerns we had received about the service. The inspection was prompted in part due to concerns about the culture of the service, staffing levels and how people’s behaviours were managed. A decision was made for us to inspect and examine those risks.