Muslyt Ltd

Updated 7 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

This service provides care and support to people living in 5 ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. One person received domiciliary care in their own home.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 18 January 2023 and ended on 26 January 2023. We visited the location’s office/service on 18 and 19 January 2023 and visited 2 people in their own home on 19 January 2023.

What we did before inspection We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service about their experience of the care provided. We spoke with 5 members of staff including the care co-ordinator, two care staff, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 3 people’s care records and medicine administration records and 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management and oversight of the service, including policies and procedures.

After the inspection

We spoke with a relative on the telephone. We continued to seek clarification from the provider to validate evidence found.

Updated 7 February 2023

About the service

Muslyt Ltd is a domiciliary care agency and supported living service providing personal care to people in their own homes. People live in the community in single or shared accommodation. Staff provide onsite 24-hour care. People receiving support are living with a learning disability, and or autism, and some people have a physical disability and health conditions.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection, 7 people were receiving the regulated activity of personal care.

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:

People received care from a regular team of staff who understood and met people's needs.

People were supported to maintain contact with their relatives. Staff enabled and encouraged people to take part in the activities they enjoyed. People were encouraged to have active and fulfilling lives.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People who experienced anxiety or emotional distress were supported by kind staff who followed detailed plans to help people manage their emotions safely.

Right Care:

People’s care plans were regularly reviewed and updated regularly or as people’s needs changed.

Staff understood their responsibilities to protect people from poor care and potential harm. The service worked with other agencies to do so. Staff had received training on how to recognise and report abuse and this knowledge was discussed at staff supervisions.

Staff supported people to access health and social care support, which included a regular review of their prescribed medicines. Staff supported people with their medicines safely. Staff liaised with local health care providers to ensure people’s emotional and sensory needs for planned appointments was considered.

Right Culture:

The provider continued to develop their systems to monitor the quality and standards of the service. The registered manager continually looked for ways to learn from incidents and feedback to improve the service.

People’s care was regularly reviewed to ensure the care provided met their current needs. People’s dignity and human rights were promoted, and people were encouraged to make decisions about their day to day routines.

Staff felt well supported and said communication was effective and the management team were always available to discuss any concerns.

Staff were safely recruited. All staff received an induction and ongoing training to ensure they could meet people’s needs. Staff received training and information in relation to the management and best practice guidance for infection prevention and control.

The staff worked well with external agencies and health and social care professionals, in supporting people with their ongoing care and support needs.

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 the service was rated Requires Improvement (published on 3 May 2019).

At the last inspection the provider was in breach of three regulations. We imposed conditions on their registration asking them to submit reports to demonstrate their compliance with staff recruitment and consent to care. At this inspection we have removed these imposed conditions because the provider demonstrated they had improved their care standards and were compliant with the legal requirements.

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 changed from Requires Improvement to Good based on the findings of this inspection.

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