Take A Break With Choices

This report from the Care Quality Commission (CQC) details an inspection of Take A Break With Choices, a respite service supporting individuals with diverse needs including dementia, autism, and learning disabilities. The inspection assessed the service across five key areas: Safety, Effectiveness, Caring, Responsiveness, and Leadership. The overall findings indicate a significant improvement since the previous inspection, with positive outcomes noted across all evaluated domains.

Regarding safety, the service has robust systems in place to protect residents from abuse, with staff demonstrating a strong understanding of safeguarding procedures. Risks are appropriately identified, monitored, and managed, and the premises are well-maintained. Staff are recruited safely, and staffing levels are sufficient to meet residents' needs, with flexibility to adapt as required. Medication management is safe, and infection control practices, including precautions for Coronavirus, are well-implemented.

In terms of how effective the care is, residents' health and emotional needs are thoroughly assessed. Nutritional needs are consistently met with varied and fresh food options, and residents are supported to maintain healthy lifestyles and access healthcare. The service collaborates effectively with other agencies, and staff receive ongoing training and support. Consent for care is sought and recorded, with staff demonstrating a good understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards.

The caring aspect of the service is noted for its compassion and kindness. Staff have a good understanding of individual care needs and promote diversity and equality. Residents are encouraged to be actively involved in their care planning, and their privacy, dignity, and independence are consistently respected.

In terms of responsiveness, the service excels at providing personalized care that respects residents' choices and preferences, with daily assessments ensuring fluid adaptation. Communication needs are well-met, with staff aware of individual requirements and various aids available. Residents are actively supported to maintain relationships and participate in a wide range of culturally relevant activities, and feedback, including compliments and complaints, is used constructively for service improvement.

Finally, the service is well-led, with a positive and person-centred culture. The leadership team has implemented improved structures and paperwork, enhancing governance systems and policies. The service is open and honest with people, and managers are clear about their roles and responsibilities, effectively evaluating and improving practice. This reflects a significant improvement in leadership and management since the last inspection.