We carried out a review of the data available to us about Care TaylorMade 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 Care TaylorMade Ltd, you can give feedback on this service.
Care TaylorMade Ltd is a supported living service providing personal care to adults with learning disabilities, autism and physical and mental health needs. There were three people using the service at the time of the inspection. People had their own rooms in a shared house, which had a number of communal areas and a garden. The accommodation had a room for staff to use so the service could provide 24-hour support.
People’s experience of using this service and what we found
The service was exceptionally caring. People were treated with respect and compassion at all times. The service excelled at supporting and empowering people to express their views. People were involved and supported to make decisions about their own care. The service had embedded a culture of respecting people’s rights, privacy, dignity and choice. Staff were pro-active, sensitive and aware of people’s individual needs.
People received exceptionally person-centred care. The service had worked hard to encourage and support people’s independence. People were now administering their own medicines, ordering their own food and drink in cafés and pubs, and handling small amounts of money. The service used creative, innovative and personalised methods to help people reach their goals and improve their quality of life. People were encouraged to take part in activities which were important to them. One relative told us, “We have seen positive changes in [person] since they have been there. [Person] is more organised, tidier and [person] plans themselves what they want to do. [Person] seems happy and contented.” The service had a culture of open and honest discussions and carried out especially detailed investigations into any concerns raised.
The service was consistently well-led. There were high levels of satisfaction throughout the service. There were clear roles and responsibilities within the service and the registered manager understood their regulatory and legal requirements. Comprehensive audits were undertaken, and quality improvement was promoted. People, relatives and staff were encouraged to give feedback and the service was extremely pro-active in engaging with other professionals to achieve good outcomes for people.
People were supported to be safe. Staff understood their safeguarding responsibilities and built positive and trusting relationships with people. Risks to people were effectively assessed and safely managed. Staff were recruited safely and there were enough staff to meet people’s needs. People received their medicines as prescribed and the service safely managed infection control.
People’s needs were comprehensively assessed and reviewed. Care files were meaningful for each individual person. Staff had the right skills, knowledge and experience to support people effectively, and people were involved in the recruitment process. People were supported to maintain a balanced diet and prepare meals where possible. People’s health needs were met in an effective and timely manner.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were given choice and supported to make decisions about their own care. People were supported to be as independent as possible. People were encouraged to pursue their individual likes and interests. People were treated with dignity and respect at all times. The service had an exceptionally person-centred culture and welcomed feedback.
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 this service was good (published 23 November 2018).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
We looked at infection prevention and control measures under the safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.
Care TaylorMade provides care and support to people living in one 'supported living' setting, so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
There were two people using the service at the time of this inspection. Both people were living with a learning, physical or sensory disability.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered 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.'
This was the first inspection of this service as Care TaylorMade Ltd was first registered with the Care Quality Commission in February 2018.
Staff had been trained in safeguarding vulnerable adults and knew how to report any concerns.
The provider checked new staff before they started work to make sure they were suitable. Staff had relevant training and received regular supervisions and appraisals.
Risk assessments were in place to support people’s independence. Any accidents and incidents were appropriately recorded and checked by the provider. People were assisted with their medicines in a safe way.
People’s needs were assessed before they started using the service to make sure the service could provide their support. If necessary, people were assisted with shopping and preparing meals to make sure they had good nutritional health.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were supported to be included in their local community and lived ordinary, fulfilled lives as local citizens.
There were friendly relationships between people and staff and people's wishes and preferences were upheld by the staff team. People were empowered to make their own choices and decisions.
Staff were respectful of people’s individuality. Care TaylorMade provided information for people in the way that met their communication styles.
The service had detailed records about each person. These included information about how they communicated, how they made decisions, what their preference were and what they could do themselves. Staff used this guidance to provide personalised support.
People and relatives knew how to make a complaint and were confident about contacting the management team at any time.
There was a strong management team with clear lines of responsibility. The provider had clear quality assurance systems to check the service. People were supported to make their views about the service known and the staff team told us they were well supported.
The service was working to link with community partners and to develop activities for people within the local area.