5 October 2022
During a routine inspection
About the service
1st Healthcare provides a supported living service for adults with a learning disability. At the time of the inspection one person was using the service.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting some of underpinning principles of right support, right care, right culture. However, they also needed to make improvements in order to fully meet these.
Right Support:
Risks management plans had not been developed to identify how to mitigate risks associated with the care the person required. People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. However, staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests.
Right Care:
The provider did not always ensure care plans provided accurate information on the person’s current support needs. People’s communication support needs were not always clearly described. Care workers understood how to support a person’s privacy and dignity when providing care. People were supported to maintain their independence by care workers. Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.
Right Culture:
The provider did not have effective and robust systems in place to monitor the quality of the care being provided. Records about people did not always show respect or understanding of their needs. The provider could not demonstrate that care workers had completed the mandatory training identified as required for their role. Care workers felt supported by the registered manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 6 October 2016 and this is the first inspection.
Why we inspected
We inspected the service based on the date of registration with us.
Enforcement and Recommendations
We have identified breaches in relation to person centred care, need for consent, safe care and treatment, staffing and good governance at this inspection.
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.