15 December 2023
During a routine inspection
About the service
Swan Care Solutions is a supported living provider, providing the regulated activity of personal care. The service provides support to people with learning disabilities or autistic spectrum disorder, mental health needs, physical disabilities, older people, and younger adults. People have either their own house or flat or share one with other people using the service at multiple different locations.
At the time of our inspection there were 2 people using the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support:
Risk assessments and management plans sometimes lacked detail about how to support people safely. Staff recruitment had not consistently been completed in line with the provider’s policy. People were supported by staff who understood how to keep them safe from the risk of abuse and manage risks to their safety. There were enough staff to support people to maintain their safety. People were supported to maintain their independence, to follow their individual interests and maintain important relationships. People had support to manage their health needs and maintain a healthy diet. Staff understood how to minimise the risk of cross infection. 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.
Right Care:
Staff had not consistently had an induction and staff training was not always up to date.
People were supported by staff who knew them well and staff were kind and caring. People received their medicines as prescribed. People told us they had choices about how they spent their time and were able to make decisions for themselves. Staff were respectful of people and understood how to support people to maintain their privacy. People had their individual needs and preferences assessed and care plans put in place. Staff understood people’s preferences.
Right Culture:
Systems had not consistently ensured records completed about people’s daily life were respectful. Systems did not consistently ensure recruitment practice was in line with the provider’s policy. A learning from incidents system was in place to share learning from incidents with staff and prevent reoccurrence. People were supported to express their preferences, and these were used with staff to design individual support. People had their protected characteristics understood by staff. People and relatives understood how to make a complaint. People and their relatives were asked for their feedback on the service.
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 24 July 2020 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about staff training, recruitment, and risk management. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, and well-led sections of the full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.