- Care home
SCC Adult Social Care Supported Living and Mallow Crescent short breaks service
Report from 4 November 2024 assessment
Contents
Ratings
Our view of the service
SCC Adult Social Care Supported Living and Mallow Crescent short breaks service provide personal care to people in supported living settings and a respite residential service. This report is in relation to the supported living settings which are based in three separate locations. As part of the inspection, we visited people living in 9 settings, reviewed their care records, spoke with staff, leaders and relatives and reviewed records in relation to people’s support. We expect health and social care providers to meet 'Right support, right care, right culture'. This is guidance CQC follows to make assessments of services supporting people with a learning disability and autistic people. During this assessment we found staff were not always aware of this and other best practice guidance which impacted on the way people were supported. There was a lack of overall governance and there had been a number of changes to the senior leadership team. This had led to inconsistencies in the service not being identified or acted upon. Systems such as assessments, goal setting, care planning, risk management and record keeping were not subject to regular audits to inform improvement plans. Whilst the leadership team had plans for improvements they wished to make, these had not been formalised into an overall action plan. In other areas we found staff were supported in their roles and felt they could share any concerns with the leadership team. The leadership team were passionate about developing the service to maximise the potential of people and staff. They gave us assurances they would work together and pool resources from across the organisation to improve consistency and systems. Sufficient staff were in place to support people’s needs and staff were recruited safely.
People's experience of this service
People’s experience of the support they received varied. Risks to the safety and well-being of some people meant they did not always receive consistent support to minimise risks and maximise their independence. For other people, support had enabled them to develop links in the local area, take part in things they enjoyed and explore work and leisure opportunities. All staff we spoke with expressed their wish to do their best for the people they supported. We observed for the majority of people this meant they had built positive relationships. However, at times we noted staff using outdated terminology and a parental approach which was not dignified for people. People were supported to attend health appointments as needed and received support to manage their medicines safely.