Background to this inspection
Updated
11 August 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service provides care and support to people living in a supported living’ setting so 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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
The inspection activity started on 17 July 2023 and ended on 02 August 2023. We visited the location’s office on 01 August 2023.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager and received staff feedback via email from 7 support workers. We spoke with the relative of the person using the service, to seek feedback on their experiences of using the service, as at the time of inspection the person was unable to speak with us. We reviewed the person’s support plans and associated care records. We reviewed 2 staff recruitment files and a variety of other records relating to the management of the service, including policies and procedures.
Updated
11 August 2023
About the service
Ultimate Care and Support Services Ltd is a supported living service providing personal care to people as part of the support they need to live in their own homes. The service supports younger adults and older people with a learning disability and autism.
Not everyone who uses 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 consider any wider social care provided. At this inspection 1 person was receiving personal care.
People's experience of using this 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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
People had a good quality of life and were fully supported to lead fulfilling lives. Personalised support plans gave information for staff to follow in keeping people safe, whilst enabling people to be as independent as possible
Effective systems were in place to manage known risks. People and their relatives were fully involved in managing personal risks and in taking decisions about how to keep safe.
Staff were trained in recognising signs when people experienced emotional distress and knew how to support people to reduce anxieties, to keep them safe.
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.
People were supported to understand their rights, and to maintain contact with people that mattered to them.
People and relatives knew how to raise concerns and were confident they would be dealt with properly.
Right Care
People had full access to specialist healthcare services. People were supported to follow their chosen hobbies and interests.
Right culture
People’s needs, wishes and rights were at the heart of the service. The registered manager promoted a culture of inclusion, diversity, and equality.
People were supported to express their individuality. The staff team were caring and dedicated to the people they supported. They enabled people to pursue their chosen hobbies and interests and follow their cultural and religious beliefs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 11 October 2022, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.