We carried out a review of the data available to us about Eden Futures - North West Region 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 Eden Futures - North West Region, you can give feedback on this service.
At our last inspection we rated the service good. At this inspection we found evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained good.
People who used the service told us they felt safe. Staff told us, and records we looked at confirmed, that staff had undertaken training in safeguarding. Policies and procedures were in place to guide staff with any safeguarding concerns.
The service used a ‘positive risk’ taking approach and we saw risk assessments were in place to keep people safe, without restricting their freedom and choices. These were reviewed on a regular basis to ensure they remained effective.
Recruitment systems and processes in place were robust. We saw references, identity checks and Disclosure and Barring Service checks were completed before staff were employed. People who used the service told us and records we looked at showed adequate numbers of staff were on duty.
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 supported this practice.
Records we looked at showed staff completed an induction when they commenced employment. We saw a programme of training was available and courses staff had completed included, epilepsy awareness, first aid, fire safety, health and safety and conflict management. Staff also received regular supervisions and appraisals. This ensured staff were knowledgeable, skilled and supported in their roles.
People had access to health care professionals such as GPs, community psychiatric nurses, dentists and opticians. This ensured people’s health needs were reviewed and met.
People who used the service told us staff were kind and caring. We did not have the opportunity to observe staff interactions with people, however, staff we spoke with spoke about people in a kind and respectful manner.
Staff members knew people well, including their preferences, background and history. People’s care records contained information relating to their sexuality, cultural/spiritual needs and relationships.
The service delivered person centred care using the recovery model. The aim of this was for people to eventually become independent and move on. We saw detailed, person centred care plans were in place.
The registered manager had processes and systems in place to monitor and improve the quality of the service.
The service was meeting all relevant fundamental standards.
Further information is in the detailed findings below
The service is registered to provide personal care for people who have a mental disorder and are accommodated in supported housing. The service runs four supported tenancies from this location. Two houses in Blackburn, two in Barrow and one in Preston. Currently there are 25 people who use the service living at the houses.
We last inspected this service in 05 November 2013 when the service met all the standards we inspected. This unannounced inspection took place on 24 and 25 of February 2015.
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 a 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 aware of and had been trained in safeguarding procedures to help protect the health and welfare of people who used the service. All the people who used the service said they felt safe. Staff were recruited using current guidelines to help minimise the risk of abuse to people who used the service.
People who used the service self-medicated to help them remain independent although there were systems in place to ensure people were taking their medicines.
People who used the service had mental capacity. Staff had been trained in the Mental Capacity Act (2005) and should be aware of when a person needed to have a deprivation of liberty safeguard hearing to protect their rights.
People who used the service were able to follow their hobbies and interests. Each person had a timetable when they were supported to attend activities or have free time to do as they wished. We observed people going out independently to shop. We spoke with the manager of one house regarding paid or voluntary work and college courses. She said it depended upon how people’s mental health was on any given day and they may or may not attend. People were asked what they would like to do when they attended their reviews. We recommend that the service seeks guidance and support about people attending work based or educational establishments in a voluntary or paid capacity for any person who wishes to do so.
We saw that the offices in each of the two houses we visited contained sufficient equipment to provide a good service. The equipment had been checked to ensure it was safe. This included the fire system and extinguishers.
People who used the service signed a tenancy agreement, consent to have their photograph taken, agreement to their care and support and other such as an induction to their home. Other documents were given to them including the service user guide. This meant people agreed to their care and support and were aware of the facilities and services provided.
Plans of care were personal to each person and updated regularly. Staff were kept up to date about people’s care and support during daily handover meetings. The care plans focused on improvement to people’s care and conditions. The registered manager audited the plans of care to check on the quality and content of them.
People said they felt able to complain and staff would listen to them.
People who used the service and staff completed surveys and were invited to regular meetings to provide their ideas about how the service could improve.
People and staff told us the registered manager and team leaders at the houses were supportive.
We observed staff supporting people who used the service. Staff supported people who used the service in a warm, friendly, yet professional approach in their support.
One person who used the service told us, "I like it here but I want to go back to living on my own".
Plans of care were detailed, regularly reviewed and people who used the service and their care coordinators were involved in the process. This meant their wishes were taken into account in the way they received care and treatment.
The service had a good relationship with the organisations who payed for and were involved in people's care.
There were sufficient staff to meet the needs of people who used the service.
Records were securely stored, confidential and retained following legal guidelines.
Two people who used the service told us, "The staff from Supported Homes came and told me about what they did. They asked me if I wanted to come and try it. I came for a trial and liked it so I have decided to stay" and "I was in hospital and I was told I could move into supported living if I wanted to. I came for a look around here and decided to stay. I liked the attitude of the staff here". People were given a trial visit to help them decide if they wanted to use this care service.
Plans of care contained sufficient detail for staff to provide effective care and were developed with people who used the service to ensure their wishes were taken into account.
Two people who used the service told us, "The staff here are all very nice. They help me with shopping, paying my bills or getting my benefits. I go to the town shopping and I buy things like my food and clothes. I like to eat out. I clean my own room. I like cleaning" and "I look after my own finances and can come and go as I please. I like to go to the library. There are some very good cafes and chip shops in town so I eat out a lot. They help me with my cooking. I like it here. It is a nice place and I have no complaints". People who used the service told us they were satisfied with the level of support and independence they received.
Quality assurance questionnaires provided by the service told us that people thought the overall support was good or excellent, people were given a choice to use the supported living service, people had input into their care and care plan, people had a good relationship with staff and thought staff listened to them, understood what support they received, were kept active and stimulated, and felt they were allowed to have some independence.
Two staff members spoken to said the service was good to work for and they were supported in personal development by training and supervision. Staff said, "I like working for Supported Homes. It is a fantastic company to work for. They have great systems which makes working for them much easier. The company as a whole is good because the directors know everyone and I feel listened to" and "I like working here and think we have a good staff team from the area director to care staff"..
Staff were appreciated by people who used the service for their professional attitude. Staff provided the support necessary for people who used the service to feel cared for.
Staff felth they were well trained and supported. They were comfortable that they were given the knowledge and skills to meet the needs of people who used the service.