25 May 2021
During a routine inspection
People’s experience of using this service and what we found
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.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Where a person appeared to have issues with their capacity to make certain decisions, the service noted this in their risk assessments and care plans. In addition, MCA assessments were completed from the service with input from their social workers., however we found not all these assessments had been completed. We found quality assurance systems had only just begun being implemented by the new management team. The manager was aware of this and was working with professionals to ensure these were completed. We have made a recommendation regarding people’s consent to care and treatment.
Staff did not always receive supervisions; however, the new management team had put a plan and dates in place to ensure these were completed
People received the care they needed to keep them safe and well. Staff used risk assessments and care plans to support people with their individual care needs. Staff complied with good infection control practices when supporting people such as wearing personal protective equipment (PPE). People received their medicines safely. We found recruitment checks were in place and staff had received a full induction before supporting people on their own. Staff were trained in safeguarding and were aware of what to do if they suspected abuse.
Staff knew people well and supported them based on their needs, preferences and choices. Staff developed good working relationships with people and their relatives. The manager ensured staff had the time they needed to provide care effectively. The service kept in regular contact with people and their relatives to check they were happy with the service provided. The service supported staff by providing transport to and from people’s homes. Staff and relatives told us if they had any concerns, they knew how to make a complaint.
Rating at last inspection
This is the first inspection since being registered in January 2021.
Why we inspected
This was a planned inspection due to concerns raised around recruitment, quality of care and safeguarding. The service also had not been inspected before. We found no evidence during this inspection that people were at risk of harm from these concerns.
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.