Zeno Limited

Updated 16 October 2024

We carried out an assessment of Zeno Ltd. This is a specialist supported living service used by people with a learning disability and autistic people. The date of assessment was the 28 October to 25 November 2024. The assessment included visits to the provider’s office and 5 properties, telephone calls to relatives of people using the service, as well as seeking and receiving the views of additional staff members following our site visits by way of emailed questionnaires. The assessment was completed to follow up on our previous inspection in August 2023, when we identified issues relating to seeking of consent, risk management, incident and accident process and governance. The service had made improvements and is no longer in breach of regulations. People received safe care which met their needs and wishes. Risks to people and the environment were assessed appropriately, with clear management plans in place. Incident and accidents were logged and reviewed, with lessons learned considered. People’s ability to consent was assessed and documented in their care files. Staff sought people’s consent prior to the provision of care. Regular audit and governance processes were carried out. Actions plans were used to monitor and drive improvements. Staff were recruited safely and enough staff were on shift each day to support people in line with their care plans. Medicines were managed safely, by staff who were trained to do so. Any restrictions in place, were appropriate and proportionate, and had been discussed with people, relatives and relevant professionals. The provider sought feedback, in a number of ways and used this feedback to develop the service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

Updated 16 October 2024

We found people were receiving care and support in line with Right Support, Right Care, Right Culture. The model of care and the setting maximised people’s choice, control and independence. Care was person-centred and promoted people’s dignity, privacy and human rights. The ethos, values, attitudes and behaviours of leaders and care staff ensured people using the service lead confident, inclusive and empowered lives. Relatives we spoke with were complimentary about the service and the staff who worked there. People were able to make choices about how they spent their time, supported to maintain their independence as well as develop new skills. Relatives told us staff were kind, considerate and passionate about their job, which was evident in the standard of care provided. People were supported to take part in social, leisure and vocational activities of their choosing. The provider adopted an individualised approach, to ensure people’s specific needs could be met. This included adapting people’s homes to ensure they were safe but also had as much freedom and autonomy as possible. People received support with hydration and nutrition, with a focus on eating a healthy balanced diet. People were supported to live healthier lives, which included access to medical professional as required. Each person had a detailed health action plan, which explained their health needs and how these would be met. Staff understood the importance of treating people as individuals. Care was person centred and based on people’s needs, wishes and aspirations. Care records detailed any personal, cultural or religious needs. Clear communication care plans were in place to ensure staff knew how to effectively communicate with people and understand them. The provider sought the views of people, relatives and other stakeholders to ensure care was safe, effective and responsive. This included the holding of events such as family forum meetings and family days.