22 June 2023
During an inspection looking at part of the service
About the service
Kazlum Support Limited is a supported living service providing personal care to 12 people at the time of the inspection. Support is provided to people with learning disabilities and autistic people living in their own houses and flats.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support: Model of Care and setting that maximises people’s choice, control and independence
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.
People lived safely and free from unwarranted restrictions because the service assessed, monitored, and managed safety well. There were comprehensive risk assessments in place covering all aspects of the service and support provided.
People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. People were not always able to comment on their safety. However, their body language while interacting with staff was relaxed and positive, which indicated they felt safe.
Medicines were managed safely. Infection control measures were in place. Health and social care professionals were regularly involved in people's care to ensure they received the care and treatment which was right for them.
There were effective staff recruitment and selection processes in place.
Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights
Staff provided care that was kind and compassionate. They were supported to reflect on their practice, to ensure it was person centred, and promoted people’s dignity and independence. With the support of a specialist in positive behavioural support (PBS) there were improved outcomes for people through more positive interactions with staff, and increased engagement in activities and the community.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
Governance processes were effective. They helped to hold staff to account, keep people safe, protect their rights and ensure good quality care and support.
People's equality, diversity and human rights were respected. The service worked hard to instil a culture of care in which staff truly valued and promoted people's individuality, protected their rights and enabled them to develop and flourish. Overall staff felt supported and valued by the management team promoting a positive and improvement-driven culture
People were supported by staff who had received relevant and good quality training. This included training in the wide range of strengths and issues people with a learning disability and or autistic people may have, mental health needs, communication tools and positive behaviour support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 15 July 2022) At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced focussed inspection of this service on 17 and 21 February 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve person centred care; consent; safeguarding and governance.
We undertook this focused inspection to follow up on action we told the provider to take at the last inspection and confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Kazlum Support Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.