Callaway Care and Support Limited

Updated 13 April 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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service provides care and support to people living in a ‘supported living’ setting, 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.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection

What we did before inspection

We reviewed information we had received about the service since registering with the Care Quality Commission (CQC) We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service and one relative about their experience of the care provided. Not all people were able to talk with us and we used different ways of communicating with people including using Makaton and observing their body language.

We also observed people’s interaction with staff to help us understand the experience of people who could not talk with us.

We spoke with two care workers and the registered manager.

We reviewed a range of records. This included one person’s care record and medication record. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one professional who visits the service.

Updated 13 April 2022

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.

About the service

Callaway Care and Support is a supporting living service providing personal care to two people at the time of the inspection. The service can support up to six people.

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

People who used the service were protected from abuse and lived in a safe and comfortable home. Staff received or were scheduled to attend training on safeguarding people and working with people with learning disabilities. Risk assessments were of good standard and management plans were in place to guide staff how to support people safely. Sufficient staff were deployed, and robust recruitment processes ensured that they were suitable to work with vulnerable people.

Staff spoke kindly about people they supported, and that they had people's best interest in mind. The staff took proactive action to seek the best ways of working with people to ensure the support they provided was safe, effective and enriched people's lives in and outside the service. Staff supported people to have a nutritious diet of people's choice, engage in meaningful activities, and access a health professional when needed. 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.

The provider had a range of quality assurance processes, including systems necessary to maintain safe environments. The registered manager ensured policies and procedures met current legislation and were up to date. Relatives told us they were asked of their views about the quality of the service.

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 maximises people’s choice, control and Independence; for example, people who used the service were consulted where and whom they want to live with. The service had a strong focus of supporting people to gain greater independence and the service sought support from external professionals to make this possible.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights. People who used the service received dignified care and support. Relatives told us that they were very happy with the care people received and that the service had a good understanding of people’s needs as well as their condition.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. The culture and ethos of the service is to empower people to become more independent. One care staff told us, “Our main purpose is to make people safe and that they live in a home they like and are comfortable to do whatever they want. Give people opportunities go out and engage with people with other people in the community.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

Rating at last inspection and update

This service was registered with us on 27 January 2020 and this is the first inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.