BuryILD

Updated 6 April 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Prior to our inspection we requested a provider information return (PIR); this is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make. We reviewed the information we held about the service including notifications the provider had sent to us. We contacted the local authority safeguarding and local commissioning teams to obtain their views about the service. This helped us to gain a balanced overview of the service. No issues were raised with us.

We told the provider two working days before our visit that we would be coming. This was to ensure the registered manager and staff would be available to answer our questions during the inspection.

This inspection took place on 13 and 14 February 2018. The inspection team consisted of two adult social care inspectors on the first day of the inspection and one adult care inspector on the second day.

On the first day of the inspection and with their permission we visited three people in their own supported homes and spoke with four support workers. Two people who we visited were not able to give us their views and opinions of the service. We looked at their personal care and support records and other documents relating to their support with them. We also met and spoke to a person and their relative at the office.

On the second day of the inspection we visited the office. We spoke with the registered manager and a support manager and looked at a range of records that related to how the service was managed.

Updated 6 April 2018

This was an announced inspection which took place on 13 and 14 February 2018. We had previously carried out an inspection in February 2015 when we found the service to be meeting all the regulations we reviewed. At the last inspection the service was rated ‘Good’. At this inspection we found the service remained ‘Good’.

BuryILD is registered to provide personal care to people in their own homes. The service specialises in providing support to people with a learning disability. Support is provided both to individuals and to people living in small group settings. At the time of our inspection there were 13 people using the service.

The provider had a registered manager in place as required by the conditions of their registration with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff had received training in safeguarding adults and reporting poor practice. They were able to tell us of the action they would take to protect people who used the service from the risk of abuse. They were certain action would be taken by the registered manager if concerns were raised.

Systems were in place to ensure staff were safely recruited. Staff had been safely recruited and there were enough staff to meet people’s needs.

People received support from consistent staff teams who knew them well and worked flexibly around their support needs.

Systems were in place to ensure the safe handling of medicines. People were supported to take as much responsibility for their own medicines as possible.

Staff received induction, training, supervision and appraisal to help ensure they were able to deliver effective care.

People who used the service, depending on their ability, were responsible for household tasks in their own homes with support from staff as necessary. Systems were also in place to reduce the risk of cross infection dependent on individual needs.

We saw that interactions between people who used the service and staff were friendly and there was a good rapport between them. There was plenty of good humour delivered in a polite and well-mannered way.

Arrangements were in place to help ensure people received individualised care to meet their diverse needs. Staff demonstrated a commitment to providing high quality personalised care and supported people to achieve their goals.

Staff were aware of the interests and preferences of people who used the service. All the staff we spoke with demonstrated a commitment to promoting people’s independence and offering choice to them.

People and staff we spoke with told us they would speak to any of the managers if they had any concerns or complaints. They were confident they would be listened to and that action would be taken to resolve their concerns.

People who used the service, their relatives and staff were regularly consulted on the service provided and to identify where they thought any improvements could be made.

The service had a manager who was registered with the Care Quality Commission and was qualified to undertake the role. They demonstrated a commitment to ensuring people’s experience of the service was positive.

Staff told us they enjoyed working in BuryILD and felt well supported both by their colleagues and the managers in the service.

Quality assurance systems in place were used to drive forward improvements in the service.