4 February 2020
During a routine inspection
Choice Support - is a residential care home providing personal care and support for people living with learning disabilities, autistic spectrum disorder, younger adults, and physical disabilities.
The care home is registered for four people. At the time of the inspection they were providing personal care and support to four people with learning disabilities.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service was originally two large bungalows that had been knocked into one building. The building design fitted into the residential area and the other large domestic homes of a similar size. There were no identifying features from the outside to indicate to the passing public that it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when supporting people in public places.
People's experience of using this service and what we found
People were supported by staff who treated them as individuals and afforded them dignity and respect. People's privacy and independence were promoted by the staff and they were supported with meaningful activities. People had person centred support plans in place and which they and their relatives, were actively involved in developing.
Relatives told us they felt the service was safe. Risks to people were identified and managed. Where required people were safely supported with their medicines. The provider had systems in place to ensure staff were safely recruited. Staff spoke knowledgeably about the systems in place to safeguard people from abuse.
People were supported by staff who had a thorough induction and training appropriate to their roles and responsibility. Staff told us they were well supported and had opportunity to discuss their own development and that of the service with the registered manager.
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. Staff supported people to access the right support to stay well including providing adequate food and fluids
Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if they needed to.
Staff told us they felt supported by the registered manager. The provider had effective quality assurance systems to monitor the quality and safety of the care provided.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 24 November 2017). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.