About the service Alinora Crescent is a supported living service providing personal care and support for people with a learning disability and /or autistic people. At the time of the inspection the service was provided to seven people. The accommodation was divided between two adjoined buildings, one with three self-contained flats the other was shared accommodation for four people.
People’s experience of using this service and what we found
People were living full and busy lives and staff supported them in a personalised way. Relatives described how people were happy, settled and enjoyed activities that were meaningful for them. Our observations throughout the inspection confirmed this. One relative said, “They are having a good quality of life there.”
Risks to people were assessed and managed effectively. Systems to safeguard people from abuse and avoidable harm were effective and staff demonstrated a clear understanding of their responsibilities. There were enough staff to care for people safely and staff had received the training and support they needed to care for people’s diverse needs. People appeared to be relaxed and happy in the company of the staff and their relatives told us they felt people were safe. One relative said, “I think the staff are doing their very best for all the people there. I have no concerns at all.” Another relative told us, “It’s a good place, it feels very safe there.”
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.
Right support:
• Model of care and setting maximises people’s choice, control and independence
Staff were focussed on supporting people to be as independent as possible. People were supported to communicate their views and to make choices and have control in their daily lives.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human Rights
Staff knew people well and understood their needs. Care was well personalised. Relatives spoke highly of the staff and described how people were supported to maintain relationships that were important to them. People had developed positive and trusting relationships with staff.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
The culture of the service was open and inclusive. Staff were motivated and positive in their view of the service and described being well supported and having access to relevant training. Relatives told us their views were welcomed and considered. People were supported to have access to the local community and to follow their interests.
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. A relative told us how previous restrictions for one person were no longer needed, saying, “They are much calmer now because they are in the right place, staff understand them so well. “
Staff worked in partnership with health care professionals to support people’s care and minimise restrictions on their rights. Over time, one person’s medicine had been reduced and staff explained the positive impact this had for the person. Their relative told us, “They are more relaxed now, it’s been a really good outcome.”
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 25 November 2019 and this is the first inspection.
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.