Transform

Transform is a supported living accommodation providing the regulated activity of personal care across three supported living settings in South East London. The service provides support to people living with mental health, learning disabilities, visual impairment and autistic people. At the time of this inspection 11 people were using the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People were supported by staff to pursue their interests and achieve their aspirations and goals. Staff supported people to take part in activities and pursue their interests in their local area and to interact with people who had shared interests.

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care

Staff promoted equality and diversity in their support for people. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies.

Right culture

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.

However, people said their views were not always taken into consideration and acted upon. Records were not always accurate and complete and did not always include relevant information.

We made a recommendation about infection prevention and control.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 27 August 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service. The overall rating for the service has remained good based on the findings of this inspection. However, we have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Transform on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to regulation 17 (good governance) at this inspection. We have made recommendation about infection prevention and control.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.