Spectrum Social Care Limited

Spectrum Social Care Limited is a domiciliary service. The service provides the regulated activity personal care to people with a learning disability and / or autistic people living in their own homes. At the time of our inspection 3 people were using the service.

People's experience of the service and what we found

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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

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 made a recommendation about the provider strengthening audits specifically relating to medicines and follows best practice for medicines. People were fully involved in managing personal risks and in taking decisions about how to keep safe. Staff were skilled in recognising signs when people experienced emotional distress and knew how to support people to keep them safe.

Right Care

Care was person-centred and promoted people's dignity, privacy and human rights. People had full access to healthcare services.

Right Culture

The provider promoted a culture of inclusion, diversity, and equality. People were supported to express their individuality. The ethos, values, attitudes and behaviours of managers and support staff ensured people using services lead inclusive and empowered lives. Staff placed people at the heart of everything they did.

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 the service at the last inspection was Good (published 31 August 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

This was a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Spectrum Social Care Limited on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

There was a manager at the service who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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.

At the last inspection on 6 March 2015 the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

Relatives we spoke with felt their family member was safe.

All the relatives we spoke with made positive comments about the care their family member had received and about the staff working at the service. Relatives we spoke with told us they would recommend the service.

We saw there were sufficient staff to provide a regular team of care staff to people who used the service.

Staff had undertaken safeguarding training and were knowledgeable about their roles and responsibilities in keeping people safe from harm.

The service had appropriate arrangements in place to manage medicines so people were protected from the risks associated with medicines.

There were recruitment procedures in place so people were cared for by suitably qualified staff who had been assessed as safe to work with people.

People’s care records showed that people had a written plan in place with details of their planned care. We saw they had been personalised to reflect their personal preferences.

People were supported with their health and dietary needs, where this was part of their plan of care.

The service promoted people’s wellbeing by providing support to people to attend daytime activities and to go out into the community, where this part of their plan of care.

Staff received induction and refresher training to maintain and update their skills. Staff received specialist training to meet the needs of people using the service. Staff were supported to deliver care and treatment safely and to an appropriate standard.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Relatives we spoke with were confident that if they raised any concerns or complaints, these would be taken seriously and appropriate action taken.

Relatives we spoke with made positive comments about the way the service was managed.

The registered provider actively sought the views of people and their representatives to continuously improve the service.

There were systems in place to monitor and improve the quality of the service provided.

Further information is in the detailed findings below.