About the service:Ben Russell Carers Ltd provides care and support to one person in their own home. The service was set up specifically to meet this person's needs. There are Trustees in place who, as part of their role, ensure the purpose of the service does not change. Please note this service is a single occupancy service so registered to 151 Buckingham Palace Road. The provider operates from the person’s home
People’s experience of using this service and what we found
The person received effective care and consistent support from a small staff team with the skills to meet their complex needs. Staff continually monitored the person’s health and wellbeing and worked with other professionals to make sure the person received the treatment they required. They were committed to providing a service which put the person at the heart of everything they did and clearly demonstrated that they had built a very positive relationship with the person and saw them as their equal.
The staff team were exceptionally compassionate and knew the person extremely well and had built very strong and trusting relationships. They Staff were always willing to go 'above and beyond' if needed. Staff ensured the person was involved in all decision making and enabled the person to be as independent as possible.
The person used an alphabet board to communicate which enabled them to express their views. Care was organised around their wishes and preferences. Support plans were very detailed on the computerised system and gave staff detailed information about the person’s complex needs, likes and dislikes.
The person was supported by staff to have maximum choice and control of their life 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.
The person was protected from abuse by staff who were aware of the different types of abuse and were confident if they raised a concern action would be taken. Medicines were safely managed. There were two staff allocated on duty throughout the day and night which was sufficient to meet the person’s needs. The registered manager and staff delivered care to the highest standards, often undertaking additional tasks to ensure the person was protected and had a good quality of life.
The registered manager had been working with the person for 20 years. They knew the person they supported very well and was a very strong advocate for them to ensure their human rights were upheld.
The registered manager and provider’s nominated individual had systems in place to monitor quality and identify where improvements needed to be made. Staff said the registered manager and the provider’s nominated individual were very open and approachable which enabled them to discuss issues or seek advice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18 July 2017). At this inspection the overall ratings of the service has remained the same. However, the rating for the caring domain has improved and is now outstanding.
Why we inspected
This was a scheduled/planned inspection based on date of registration
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.