About the service True Colours Inclusive CIC is a supported living service providing personal care to one person at the time of the inspection.
People’s experience of using this service and what we found
Safeguarding policies and procedures were in place and being followed. Appropriate risk assessments were in place and accidents and incidents were being recorded. Medicines were managed safely. Infection prevention control (IPC) practices were being followed and the service had a good stock of personal protective equipment (PPE). The service was adequately staffed, though safe recruitment procedures had not always been followed. We made a recommendation the service reviews their recruitment procedure.
The service were considering the needs and choices of the person and supported the person to maintain a balanced diet. Staff received supervisions, but these were not happening in line with their policy. The service worked closely with a variety of professionals. Staff received necessary training on their induction, but some had not received regular refresher training. Staff understood the mental capacity act and signed consent to care forms were in place. We made a recommendation for the service to review their training and supervision policy.
Equality and diversity was respected, and staff supported the person to be as independent as possible. The person was able to express their views and regular meetings were held in which they were involved.
The service provided person centred care and a detailed care plan was in place. The person was supported to take part in activities and make everyday choices. Communication needs were being met through various different ways of communication. Complaints were recorded and handled in line with their policy. Although no one was in receipt of end of life care, the service had an end of life policy in place.
Some concerns were identified around the governance of the service, as the audits in place did not identify the issues mentioned above. Confidential information was stored securely. Regular meetings were taking place between the service and the person. However, no feedback surveys had been sent out to staff, family or the service user. Staff spoke positively about the management. A whistle-blowing policy was in place and any incidents or concerns were reported to the local authority and CQC. Lessons learned were taking place.
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 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.
This service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. The person was given choices and the service promoted independence where possible. The staff knew the service user well and person-centred care was being provided. The service was supportive, and staff spoke positively about the manager and told us how they supported the service user to take part in various activities which was focussed around service user choice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 3 June 2019 and this is the first inspection.