About the serviceAriya Neuro Care (Supported Living) Limited provides care and support to people living in a 'supported living' setting, or in their own home so that they can live 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. At the time of the inspection, there were 23 people using the service.
People's experience of using this service:
People felt very safe. The service promoted the importance of a strong ethical, kind and positive culture throughout the organisation as the foundation of having a safe environment and minimising safeguarding concerns or poor practice. Safe recruitment practices were followed. Innovative methods to pair people and prospective staff in the recruitment process were in place. Medicine records reviewed confirmed people received these safely. People lived in an environment that was clean and free from the risk of the spread of infection. Staff received a thorough induction process and had completed all the training required to support people safely. Staff received regular supervision and annual appraisals and were able to reflect on the care and support they delivered. Staff were able to access further training and development opportunities in addition to their mandatory training.
Risks to people's safety had been thoroughly assessed, monitored and managed so they were supported to stay safe while their freedom was respected. People were fully supported creatively to live healthier lives by having on-going support to access suitable healthcare services. Staff understood the importance of promoting equality and diversity by supporting people to make choices about their lives. 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. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed. There was evidence the service went the extra mile to ensure people were supported to make decisions.
There was a positive and empowering culture established within the service. This meant people were supported by exceptionally caring and attentive staff that knew them well and helped them to achieve their potential. People were encouraged to live as full a life as possible and supported to achieve the best possible outcomes. Staff had formed positive relationships with people they supported and looked for ways to develop their independence. Care was person-centred and delivered by committed and dedicated staff. Care and support was designed by people, relatives, the staff team and external professionals collaboratively, and was based on combining people's needs and wishes with best practice of acquired brain injury care.
The staff team were very focussed on delivering person-centred care and were responsive to people's changing needs. People were strongly encouraged to continue with their favourite activities and hobbies and supported to develop new ones, if this was what they wanted. People and relatives spoke positively about the input and adaptability of staff and the positive effect this had toward their goal of independent living.
The leadership of the service was outstanding. Robust quality assurance systems had sustained continual development and improvement throughout the service resulting in positive outcomes for people. The registered manager, supported by their senior management team, had established a person-centred culture that consistently delivered high quality care. Staff and the management team were passionate and motivated about their roles and understood their responsibilities. They actively engaged and included people, their relatives and professionals in the ongoing design and delivery of their care and support.
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 Outstanding (published 12 April 2018).
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 reinspection programme. If we receive any concerning information we may inspect sooner.