We carried out a review of the data available to us about Strada Care on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Strada Care, you can give feedback on this service.
At the time of the inspection Strada Care provided personal care for 19 people with physical support needs, learning disabilities and/or autism in supported living settings, so that they could live in their own home as independently as possible. People lived in accommodation where they shared communal areas of their homes with others and could access support from staff throughout the day and night.
People's care and housing were provided under separate contractual agreements. Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people's personal care and support. 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.
People’s experience of using this service and what we found
People and their relatives felt staff could recognise and act on any concerns and supported people to stay well and free of avoidable harm. Staff knew people and their individual needs well.
There were enough staff to provide people with support as per their individual needs. The provider addressed any workforce pressures and implemented contingency plans to address those. Staff were trained and competent to support people. Where people needed help to take their medicines, support was provided safely. New staff were recruited safely.
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.
People’s support plans were person-centred, respectful to their own life stories, preferences, wishes, identities and goals. They included clear guidance for staff on how to best support them around their physical and emotional health and how to communicate effectively. People were supported to access healthcare, social care and community services when needed and this was done in a timely way.
People received appropriate support to take care of their homes, prepare meals and to go out when they wished to do so. Staff supported people in a very challenging time when a lot of opportunities were limited by the COVID-19 pandemic and the national guidance on how to stay safe. However, people’s relatives told us staff strived to support people to have a meaningful, happy life despite those challenges.
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 maximised people’s choice, control and independence
People were supported to live in their own homes with others who had been important to them throughout their lives or when they required specialist support to work on improving their independence. Although the design and location of some of people’s homes posed some difficulties to fully adhere to this guidance, the provider had ensured people were not affected and continued to review the model of support. This was as some people’s homes were similar in the design and day to day running to a care home environment. However, the provider mitigated the impact on people by ensuring people received personalised support. We saw people were enabled to live in their own homes, to go out and be as independent as possible whilst previously they might have lived in healthcare settings due to their complex needs.
Right care:
• Care was person-centred and promoted people’s dignity, privacy and human rights
People and their relatives told us staff were respectful, caring and understanding around people’s individual emotional and physical needs. Staff treated people with dignity and respected their human rights. For example, they actively promoted people’s right to family life and helped them to maintain relationships important to them.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives
The registered manager and team leaders knew people well and created a positive culture where people were recognised as individuals and their representatives were involved and listened to as well. The provider continued to review how they supported people and what could be improved to ensure people led the lives they wanted and were safe.
The registered manager was supported by team leaders. The management team reviewed quality and safety of the support provided to people and supported the staff team on a day to day basis. Where improvement actions were identified, this was discussed and remedied. The provider worked effectively with other healthcare, social care and community services so people received timely, joined-up support.
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 8 April 2021 and this is the first inspection since a change of the registered address.
The last rating for this service under the previous address was good (published 26 November 2019).
Why we inspected
The inspection was prompted in part due to information we received from the provider via a CQC direct monitoring call around risk management and the model of the service; and in part as the service was unrated since the change in its registered office address. A decision was made for us to inspect and examine those risks.
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.