We carried out a review of the data available to us about Salisbury Support Services 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 Salisbury Support Services, you can give feedback on this service.
About the service
Salisbury Support Services is a supported living service. The service supported people with a learning disability and autistic people. At the time of the inspection 8 people were receiving the regulated activity of personal care. Support was provided across 3 supported living schemes. Staff were available in each scheme 24 hours a day.
People’s experience of using this service and what we found
Right Support: The model of care was not always in line with nationally recognised standards for supported living. We have made recommendations to the provider about this.
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 told us the support they received enabled them to make choices about how to live their lives. Staff focused on each person’s strengths to enable people to lead fulfilling and meaningful lives.
Right Care: People told us they received kind and compassionate care that supported their needs and aspirations. Care was personalised and responsive. People were treated with dignity and respect by kind and caring staff who understood their individual needs, choices and preferences well.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives. There was a flexible approach to risk management which promoted people’s independence and provided opportunities for new experiences. There was a strong commitment to ensuring the service was inclusive and people had the opportunity to gain employment, learn new skills and develop friendships and community connections.
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 good (published 13 January 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We undertook 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.
The overall rating for the service has remained good based on the findings of this inspection. We have made a recommendation about standards for supported living.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Salisbury Support Services 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.
Salisbury Support Services is a domiciliary care agency located in Bognor Regis, West Sussex. The agency provides personal care to people with a learning disability and/or physical disability and supports people to live independently in their own homes. The 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 main office is situated in the centre of Bognor Regis.
The service provides a person centred approach to care for people with learning disabilities. The service supports some people on a 24 hour basis and others who may require support with personal care needs at specific times of the day and/or night. At the time of the inspection 13 people were receiving support with their personal care needs. The person we visited could not communicate their views to us. We observed how staff supported the person and spoke with them.
There was a registered manager in post. 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.
Staff were recruited safely and trained to meet people’s individual needs. Wherever possible people were only supported by staff known to them and trained to meet their needs. There were enough staff assigned to provide support and ensure that people's needs were met.
Staff were aware of the requirements of the Mental Capacity Act [2005] and the Deprivation of Liberty Safeguards [DoLS] which meant they were working within the law to support people who may lack capacity who may need to be referred under the court of protection scheme through the local authority.
People had a care plan that provided staff with direction and guidance about how to meet individual needs and wishes. These care plans were regularly reviewed and any changes in people’s needs were communicated to staff.
Comprehensive assessments were carried out to identify any risks or potential risks to the person using the service and to the staff supporting them. This included any environmental risks in people’s homes, risks in the community and any risks in relation to the care and support needs of the person.
People’s needs were met where staff were responsible for supporting medicine administration and ensuring people had enough to eat and drink. Clear records were kept and issues followed up on.
People received support from staff who they knew and who had the skills and knowledge to provide their care.
People were supported to live a full and active life, offered choice and staff had safeguards in place to support people to experience outings and for activities to go ahead.
People knew how to raise concerns and make complaints. People had details of how to raise a complaint and told us they would be happy to make a complaint if they needed to. We looked at records that demonstrated the complaints procedure had been followed.
There was a management structure within the service which provided clear lines of responsibility and accountability. There was a positive culture within the service and the management team provided strong leadership and led by example. Staff said “I feel well supported by the company” and “We are a good team and everyone from the manager, assistant manager, team leaders and support staff are supportive”.
There were quality assurance systems in place to make sure that any areas for improvement were identified and addressed. The registered manager, assistant manager and team leaders were visible in the service. They regularly visited people in their own homes and sought their views about the service.