Short Break Service

This report from the Care Quality Commission (CQC) details an inspection of the R0AX1 Short Break Service, which provides respite care for adults with complex needs related to autism and/or learning disabilities. The inspection focused on the service's safety, effectiveness, and leadership, following a previous assessment that identified areas for improvement. The findings indicate significant positive changes since the last inspection, with the service now demonstrating a strong commitment to person-centred care and enhanced safety measures.

Regarding safety, the service has made substantial improvements, particularly in areas of premises safety and infection control. Environmental hazards have been addressed, and risk assessments are now regularly updated, contributing to a safer living space for residents. Medicines are managed securely, and staff are well-trained in safeguarding procedures, leading to relatives expressing confidence in the safety of their loved ones.

In terms of how effective the care is, the service has successfully transformed its environment to better meet residents' needs, including a significantly improved communal garden. Care plans are highly personalised, and residents' rooms are individualised, creating a more appropriate and comfortable setting. Staff possess the necessary skills and knowledge to support residents, and there's effective collaboration with other healthcare professionals to ensure continuity of care.

Concerning the caring aspect, while not a specific focus of this inspection, the report highlights that the service's ethos, values, and staff attitudes promote confident, inclusive, and empowered lives for those using the service. Residents are supported to maximise choice and control in their lives, with staff acting in their best interests and in the least restrictive way possible.

The service has demonstrated a responsive approach to care, with improvements in communication and engagement with families. Environmental changes, such as the garden transformation and the functional Wi-Fi, directly address feedback from residents and their families, enhancing their experience and connection with the outside world.

On how well-led the service is, there has been a clear strengthening of management oversight and quality assurance. New management appointments and better-defined roles have created a more structured and supportive environment for staff. A culture of continuous learning and openness is evident, with a well-established incident reporting framework and swift responses to concerns, fostering an inclusive and empowering atmosphere for both staff and residents.