We carried out a review of the data available to us about Axcelence Limited 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 Axcelence Limited, you can give feedback on this service.
Axcelence Care is a supported living service providing personal care to people with learning disabilities or mental health needs. At the time of the inspection, 15 people were using the service. People lived across four supported living services in a residential area. Within the four services people had ensuite bedrooms, communal spaces and large gardens to access.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Systems had been established to safeguard people from the risk of abuse. Individual risks had been assessed, and people were protected from the risk of harm related to their individual support needs and the service had systems in place to prevent the spread of infection. Medicines were being managed in a safe manner. There were enough staff working at the service and pre-employment checks were carried out on prospective staff. The service recorded accidents and incidents to provide safe care and support.
Assessments were undertaken to determine people's needs before they moved into the service. Staff received training to support them in their roles. Staff were provided with ongoing support through supervisions and appraisals and received an induction to enable them to provide effective care and support. People's nutritional needs were met, and people were supported to choose their meals and go shopping for ingredients. People received care and support from relevant healthcare professionals. 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 treated in a caring manner by staff and the staff understood what life was like for people living in the service. People and their relatives were involved in the planning and reviewing of their care. Staff understood how to support people in a way that respected their dignity, privacy and promoted their independence.
People received person-centred care that met their needs. People were supported to engage in their local community and participate in activities of their choice. Information was provided to people in an accessible format. People told us they felt able to make a complaint and were confident complaints would be listened to and acted on. People's end of life wishes were discussed and documented.
People engaged with the registered manager and the service was managed well. There were processes in place to manage and monitor the quality of the service provided. The registered manager kept up to date with best practice to ensure a high-quality service was being delivered and received feedback well to improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
At the last inspection the service was rated good (Published 2 October 2017.)
Why we inspected
This was a planned inspection based on the previous rating.
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.
Axcelence care provides personal care for people with learning and physical disabilities living in their own homes. On the day of our inspection there were four people using the service in a shared house.
The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We last inspected the service on 4 December 2015 and rated the service as 'Good.' At this inspection we found the service remained 'Good' and met all legal requirements. However, policies and end of life care plans were still in the process of being updated. The registered manager had a plan in place to ensure these were completed in a timely manner.
People's needs were assessed before they started using the service and care plans ensured people’s individual wishes, needs and choices were taken into account.
Staff had undergone safeguarding training and were able to explain the steps they would take to safeguard people from abuse.
There were sufficient staff to meet people’s needs. The service had effective recruitment and selection procedures in place that ensured relevant checks were completed before they employed staff.
Medicines were managed safely by staff who had received appropriate training and competency assessment.
The service was working within the principles of the Mental Capacity Act 2005 (MCA).
People were supported to maintain a balanced diet by staff who were aware of their individual preferences.
Staff treated people with dignity and respect. They helped to maintain people's independence by encouraging them to care for themselves where possible.
People attended activities based on their likes and interests and were encouraged to maintain their social and family contacts which helped meet their social needs.
There was an effective complaints system in place known by people, their family and staff.
Staff felt supported by the registered manager and received annual appraisal, regular training and supervision to ensure they delivered evidence based care.
There were effective quality assurance processes in place to ensure people’s feedback was listened to and acted upon.