Background to this inspection
Updated
8 September 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out this inspection.
Service and service type
This service provides care and support to people living in a number of ‘supported living’ settings, so that they can live 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 manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the provider 24 hours' notice of the inspection. This allowed the provider time to let people know we would be visiting and provide us with records for review as part of the inspection.
What we did before the inspection
We reviewed information we held about the service, including the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send us within required timescales.
We sought feedback from the local authority and professionals who work with the service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with one person and two relatives about their experience of the care provided.
We reviewed a range of records. This included two people's care records. We spoke with four members of staff, including the registered manager.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We emailed five further members of staff for their feedback, as well as four further health and social care professionals. We reviewed training information, recruitment information, policies, newsletters, and quality assurance records.
Updated
8 September 2021
About the service
Creative Support - Gateshead Service provides care and support in a 'supported living' setting, so that people can live as independently as possible. Care and housing are provided under separate contractual agreements. The Care Quality Commission does not regulate premises used for supported living. At the time of the inspection personal care was provided to two people. This inspection looked at the personal care and support provided.
People's experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right Support, Right Care, Right Culture. For instance, people led meaningful lives that included control, choice, and independence. Support was person-centred support, appropriate and inclusive.
People were safeguarded from the risk of abuse. They felt safe and confident with staff who supported them. Staff understood safeguarding procedures and the provider had appropriate policies and systems in place.
People's care plans were detailed. Staff knew people well and helped them make plans to achieve their goals and aspirations. Outcomes were good but some person-centred care planning needed updating and there was a consensus of professional opinion that staff needed to support a person more proactively. We have made a recommendation 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.
Staff were patient and kind. People were involved in regular care planning reviews. Staff understood and acted on the best way to communicate with and involve people.
There was a positive culture at the service. Staff felt valued and spoke highly of their immediate management support.
There were comprehensive systems in place to assess, monitor and improve the quality of care being provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was rated good on 30 January 2018.
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.