About the service Community Prospects is a service providing care to people in several supported living settings and to people in their own homes. The service is registered to provide care to autistic people, people with a learning disability, mental health conditions and older people. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. There were 15 people receiving personal care across eight different locations at the time of the inspection.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support:
Staff supported people to live as independently as possible and be in control of their daily lives. People were supported by staff to take up paid employment which helped them to maintain their independence and reduce the level of support they required from staff. People were provided with a choice in all their decision-making and families were involved where they wanted to be. People’s risks in relation to their care were managed well. Staff understood how to maintain and improve people’s independence, including taking positive risks. There were sufficient staff to meet people’s needs and their individual one-to-one hours were met. We were assured that the service were following good infection prevention and control (IPC) procedures to keep people safe.
Right Care:
People and their relatives told us they felt supported by staff in a kind, caring and dignified way. People’s differences were respected by staff and they had undertaken relevant training to effectively support people. People told us that the care they received was consistent and that staff knew them well. Service managers tried to match people with carers of their choice wherever possible. Kitchen areas were always accessible to people and they were able to choose their meals with appropriate support from staff. People’s right to privacy was respected and staff encouraged people to regularly provide feedback about the care provided. Care plans were personalised and included information on people’s healthcare needs, preferences, challenges and hobbies. People’s preferences and abilities in relation to oral care were recorded clearly in care plans. Services were located in residential streets and there were no outward signs to differentiate them from neighbouring properties.
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 Culture:
The culture of the service was open, inclusive and empowered people to live independent lives. The service was exceptionally well-led from the top and feedback from people, their relatives, staff, healthcare professionals and the systems in place reflected this. People and their relatives felt their ideas and concerns would be listened to by management. People told us they felt that staff had helped them become more confident and independent. Management had undertaken regular audits to look at ways of improving the service and identifying issues. Staff were complimentary about the management of the service, felt valued and told us they were able to raise concerns with the manager. Staff were encouraged by management to undertake training and were encouraged to follow a career path should they wish to. Management had worked exceptionally closely with healthcare professionals to achieve positive outcomes for people. This included setting up a Proactive Community for people and chaired by people. Management had engaged people who used the service and staff in different projects to tackle current healthcare challenges, such as obesity affecting people with learning disabilities and working with external organisations to create a healthy eating mobile phone application. People who used the service were actively encouraged to attend and contribute to staff training sessions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 29 August 2019 and this is the first inspection at this address. The last rating for the service at the previous premises was good published on 29 November 2016.
Why we inspected
This inspection was prompted by a review of the information we held about this service and based on the date it registered with the Care Quality Commission.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.