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Congratulation’s to Accordia Supported Living Services.

Many congratulations to all at Accordia Supported Living Services for an Outstanding rating in February 2022.

Here is what the CQC reported in summary:-

Accordia Supported Living Services Limited is a supported living service offering care and support to people in individual flats in one house. The service supports younger adults with a learning disability or with autistic spectrum disorder who may have an associated mental health diagnosis, some of whom have legal restrictions placed on them. Not everyone who used the service received personal care.

The Care Quality Commission (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. Three people were being supported with personal care at the time of our inspection.

People’s experience of using this service and what we found
Staff and the management team ensured that people and their families were at the centre of the delivery of care. People were treated as individuals whose life and experiences were considered and factored into care planning. People were engaged in selecting their own support team and others administered their own medicines and carried out health and safety audits of their flat. The service used creative, innovative and personalised methods to help people reach their goals and improve their quality of life. People were
encouraged to take part in activities which were important to them and had opportunities to access the
local community amenities. The service had a culture of open and honest discussions and carried out
especially detailed investigations into any concerns raised.

The service was consistently well-led. People were at the centre of their support and the focus of everything the service did. This approach was central to shaping the service being provided to each person. There were high levels of satisfaction expressed by service users, family members and external professionals and each staff member told us they felt their contributions to the service were valued and respected by the provider.

There were clear roles and responsibilities within the service and the registered manager understood their
regulatory and legal requirements. Comprehensive audits were undertaken, and quality improvement was
promoted. We saw evidence that learning from incidents contributed to continuous improvement of service delivery. The service was extremely proactive in engaging with other professionals and making links with the local community to achieve good outcomes for people.

People told us they felt safe with the staff who supported them. Risks to people were assessed and
procedures were in place to help keep people safe. The provider’s systems protected people from the risk of abuse. All staff were aware of their responsibilities with regards to safeguarding people. Medicines were managed safely and people were protected from the risks associated with the spread of infection.

People were supported by staff who were well trained and competent in their role. They received additional specialised training and had regular supervision to discuss their roles. There was a strong emphasis on staff development and empowerment. Staff complimented the provider with regards to the training and development opportunities afforded to them and benefited from regular supervision. 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

We observed there was a kind, caring and respectful culture in the service and people told us staff treated
kindly. People experienced continuity of care and we saw they engaged confidently with members of their
support team. People were encouraged to be as independent as possible which had a positive effect on
their self-esteem. Staff were committed to enabling people to live their lives in a way which was as close to their choosing as possible.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make
assessments and judgements about services providing support to people with a learning disability and/or
autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:
People lived in independent flats and staff supported them to make their own choices, including being part of selecting their own support team. Staff focused on people’s strengths and on what they could do to ensure they led a fulfilling and meaningful everyday life. Staff promoted people’s independence and
supported their access to the local community.

Right care:
People received kind and compassionate care and were supported in a person-centred way. People lived in their own flats and staff respected their privacy and dignity. Staff understood how to protect people from poor care and abuse and worked well with other agencies to achieve this. People’s care, treatment and support plans reflected their range of needs and this promoted their health, mental wellbeing and
enjoyment of life.

Right culture:
The leadership team and staff showed commitment and respect to those whom they supported. People
received good quality care and support because trained staff and specialists could meet their needs and
wishes. Staff spoke with passion and knowledge about their role, central to which was to empower those
whom they supported to live their best life possible and in the least restrictive way. Staff told us how the
needs and views of those whom they supported were paramount and must be respected at all times. The
provider ensured risks of a closed culture were minimised and people received support based on
transparency, respect and inclusivity.

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