Culmside Support LLP provides personal care and support to people with a learning disability living in their own homes in Uffculme, Devon. The service is a family business which currently provides personal care for people living within a Supported Living environment, which was also managed by the directors of the agency as a separate service. People had separate tenancy agreements and could choose which agency provided their personal care. Culmside Support LLP is not regulated to provide accommodation which meant we did not inspect the premises. The provider’s office and staff room were not located within people’s homes, but in a separate building within the grounds of supported living accommodation. At the time of the inspection 3 people were being supported by the service. The service employed eight care staff.
This inspection was undertaken on 12 and 15 December 2016.
We last inspected the service on the 14 November 2013. At that inspection we found the provider was meeting all of the regulations we inspected.
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.
People received a safe service. People said they felt safe and comfortable with staff. Staff were friendly, kind and compassionate. Comments included, “I like all of the staff…”; “The staff are nice and kind to me…” and “I am very happy…” One relative said, “Yes, we know (the person) is absolutely safe. They (staff) have been splendid…” Another commented, “We are more than pleased with the service.”
There were safeguarding policies and procedures in place and staff were knowledgeable about the action they would take if they suspected people were at risk of harm or abuse. Risk had been identified and risk assessments were proportionate and included information for staff on how to reduce identified risks, whilst avoiding undue restriction. People’s medicines were managed safely and additional steps were taken during the inspection to ensure records were accurate and up-to-date.
There were sufficient staff on duty to meet people's needs in a timely manner and to support their preferred activities. Effective recruitment practices were in place to ensure new staff were suitable to work with the people using the service.
Staff received training relevant to their roles and had regular supervision meetings to discuss and review their development and performance. Relatives and healthcare professionals were positive about the skills, experience and abilities of staff.
The provider followed the Mental Capacity Act 2005 (MCA). People were supported to make decision in their best interests and staff had a good knowledge of the importance of seeking consent before providing care. People were supported to maintain good health and had access to health and social care professionals when necessary. Staff supported people to plan and prepare meals and maintain a balanced healthy diet.
Staff had developed positive and caring relationships with people and clearly knew them well. People were supported to be independent. They said they were able to do what they wanted and staff were supportive and encouraging of their independence. They were also supported and encouraged to take part in a wide range of activities within the local community and local day care services.
People were involved in the planning, delivery and reviews of the care and support provided. Where people had identified changes they would like, for example, the time of visits, or the gender of staff, this had been actioned.
People knew how to make a complaint. The provider had a complaints policy in place that was available for people and their relatives. No complaints or concerns were raised with us during the inspection.
The registered manager was well known to all of the people using the service and their relatives. Feedback from people, their relatives, staff and professionals showed they found her to be approachable and responsive.
Regular checks were in place to monitor the quality of the service. For example, regular meetings and care reviews with people using the service and their relatives. Care records were checked regularly to make sure they included the correct information for staff to follow. Any incident or accidents were reviewed by the registered manager to ensure steps were taken to reduce a reoccurrence. The registered manager was aware of their responsibilities in relation to reporting incident and events to the Care Quality Commission as required by law.