Caprani Care Support Services

Updated 9 December 2022

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

This service provides care and support to people living in 2 ‘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.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period notice of the inspection to ensure people consented for our visit into their homes and the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 23 September 2022 and ended on 27 September 2022. We visited the location’s office on 23 September 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We communicated with 6 people who used the service and 2 relatives about their experience of the support and care provided. We spoke with 6 members of staff including the service management team and staff supporting people.

We reviewed a range of records. This included 4 people’s care plans and multiple medicines records. We looked at recruitment checks and training records for 4 staff members. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 9 December 2022

About the service

Caprani Care Support Services provides personal care to people with learning disabilities and autistic people living independently in 2 supported living houses in the local community. At the time of the inspection 8 people were receiving support.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

People were supported in a way which enabled them to live their lives as independently as possible in their own homes in their local community. For some people this meant they were able to live in an ordinary household with their peers and support for the first time in their lives. People were supported to achieve their goals, develop their skills, to go out, express their identities and to learn about their own needs, how to keep safe and well. There were enough staff flexibly allocated to help people to do so.

People were supported and encouraged to take control of their lives and home environments. This brought extremely positive results for many of the people supported and staff consistently sought opportunities to help people to develop further, despite any external challenges.

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 proactively addressed any opportunities for people to have less restrictive support and to take positive risks in a safe way.

People were supported safely around their individual health and care needs, could access healthcare service when needed and staff knew them well. Staff helped people to take their medicines safely and people were encouraged to be as independent as possible in managing their medicines. People were supported to reduce the need for taking the medicines which posed high risk of side effects.

Right Care:

People were consistently at the centre of their own support and were truly listened to and valued by staff. The care and support was planned with people in a way which addressed their strengths, choices and personal needs. People told us they ‘loved’ their support and they felt truly valued, recognised and proud of their achievements. The managers championed people’s rights and supported them around equality and diversity.

Staff enabled people to change challenges into opportunities. For example, the allotment and day centre projects enabled people to achieve their goals despite the restrictions of the COVID-19 pandemic. The provider supported this by working in effective partnership with people, local partners and organisations as well as the staff team.

Right Culture:

The managers created and maintained an exceptionally caring and inclusive culture in the services. People were consistently at the centre of all changes made to improve the service. For example, the provider continued to enable and empower people to manage their own health, home environments, relationships and to stand up for their rights and engage with others in their local community.

Staff consistently said the leaders were exceptionally approachable and dedicated, very visible and supportive. The leaders of the service continued to work with other organisations and partners, taking a proactive approach to continuous improvement and strengthening the way they looked after the quality and safety of people’s support.

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 registered with us on 14 July 2021 and this is the first inspection. The last rating for the service at the previous premises was outstanding, published on 15 December 2017.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.