Archived: One 2 One Support (Cheshire) Limited

This service provides care and support to people living in three ‘supported living’ settings, so that they can live in their own home 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.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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 our last visit on the 27 October 2015 the service was rated as good. This inspection identified that the service continued to meet all the relevant fundamental standards and the rating remains good.

People told us that they were kept safe whilst living at the service. Systems were in place to protect people from the risk of harm. Staff understood their responsibilities around safeguarding people from abuse and protecting their rights. Robust recruitment processes were followed and there were sufficient skilled and experienced staff on duty to meet people’s needs. There were safe systems in place for the management of medicines. Medicines were administered safely and administration records were up to date

Staff received support through supervision and team meetings. They were able to discuss any matters, such as their personal concerns, work or training needs. There was a programme of planned training which was relevant to the work staff carried out and the needs of the people who used the service.

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

People received personalised care and support from staff who knew them exceptionally well. The registered provider ensured consistency in care as a dedicated team of staff supported the same people. Support plans contained detailed, personal and relevant information to enable staff to meet and promote people’s individual needs. Staff worked well with external health and social care professionals to make sure people received the care and support they needed. Staff were responsive in meeting changes to people’s health needs

Staff were caring and treated people with kindness and respect. Observations showed that staff were respectful of people’s rights, choices, privacy and dignity and encouraged people to maintain their independence.

The service was well managed and quality assurance systems were in place to ensure people received a safe and effective service. We were notified as required about incidents and events which had occurred at the service.

Further information is in the detailed findings below.

We spoke with five members staff including the manager. They told us they thought the service employed enough staff to meet the needs of the people who used the service.

From discussions with staff and examination of training records we saw that staff were supported by the company to gain National Vocational Qualifications (NVQ) levels 2 and 3 in social care. Staff training was also current in areas such as first aid, manual handling, safeguarding and fire safety.

We saw that the manager or senior staff members did spot checks on care assistants to ensure the needs of people who used the service were met and staff were undertaking their duties in a safe and appropriate manner.

We found that records were kept securely and could be located promptly when needed. This included staff personnel files and records for people who used the service.

'They(the staff) are perfect'

'The staff do a lot for me'

We looked at four care records and all had assessments of people's health and social needs completed. There were individual support plans and risk assessments in place. There was evidence within them to show they were evaluated on a regular basis. This meant that the service could demonstrate they could meet people's needs and maintain their health and wellbeing.

We contacted Chester and Cheshire West Local Authority who confirmed there were no issues of concern with regards to the service. We have received no concerns about the service.

We found that the provider has robust and effective systems in place in relation to the recruitment and training of its employees. We spoke to four members of staff. Comments from them included

'I enjoy my job immensely'

'Nothing stops me from doing a good job'

'I have good relationships with all of my colleagues'