Supporting Choice received an overall Good rating at its first inspection, with an Outstanding rating for Responsive reflecting exceptional person-centred care, bespoke activity planning and innovative communication support for two younger adults. Minor recording gaps were identified around PRN medication monitoring charts and nutritional weight monitoring, both acknowledged and agreed for improvement by the registered manager.
Concerns (2)
minorMedication management: “We spoke with the registered manager about using monitoring charts and recording more information to guide staff on when and how much of these medicines to administer.”
minorRecord keeping: “We spoke with the registered manager about developing these to record how people's weight, and any weight loss was monitored. They agreed to address this.”
Strengths
· Exceptionally person-centred care with highly motivated, innovative staff going the extra mile to improve people's quality of life.
· Very detailed, regularly reviewed care plans including photographs to guide staff on personalised support preferences.
· Outstanding responsiveness: bespoke activity planning, accessible information (easy-read surveys, picture cards) and flexible, individualised support.
· Strong staff support culture: registered manager nurtured confidence, provided regular supervisions and encouraged advanced training.
· Safe recruitment, comprehensive training including safeguarding, and effective infection control practices.
Quality-Statement breakdown (22)
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesOutstanding
responsive: Supporting people to develop and maintain relationships to avoid social isolation; support to follow interests and activitiesOutstanding
responsive: Meeting people's communication needsOutstanding
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Working in partnership with others; engaging and involving people using the serviceGood