Background to this inspection
Updated
14 August 2019
The inspection
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was 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.
Inspection team
The inspection was completed by four inspectors.
Service and service type
Transition is a supported living service. It provides care and support to people living in their own houses and flats, 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care.
Notice of inspection
This inspection was unannounced.
What we did before the 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service about their experience of the care provided and one relative. We also spoke with the registered manager, service administrator and eight support staff.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with a health care professional who regularly visited the service. We also spoke with two relatives.
Updated
14 August 2019
About the service
Transition Care is a supported living service. 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 our inspection, the service was providing support to 33 people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.
People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.
People's experience of using this service and what we found
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The service actively supported people to live their life in the way they wanted to live it, whilst also encouraging people to develop their independence. People participated in activities and pastimes which were meaningful to them, both in the local and wider community. Staff took the time to get to know what people enjoyed doing and supported people with their chosen activities. People were encouraged to set their own goals and aspirations. Some people attended college, voluntary work or undertook employment.
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.
Regular checks and audits were carried out to determine the quality and safety of the care and support being provided. Risk to people was appropriately assessed and measures were put in place to support people safely, whilst still respecting their choices and freedom.
People were treated with dignity and respect. Staff provided support where required, but also took care to encourage and develop people’s independence.
Staff were supported in their role with appropriate training and supervision. Most staff had received additional training to meet the specific needs of the people they were supporting. New staff completed an induction programme. We have made a recommendation to the provider about staff induction.
Feedback about the management of the service from people, relatives and staff was positive.
The registered manager and registered provider had met their legal requirements with the Care Quality Commission (CQC). They promoted a person centred and transparent culture within the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At our last inspection, the service was rated "Good." (Report published January 2019).
Why we inspected
The inspection was prompted in part due to concerns received about staff induction and the service's knowledge, management and support of new people to the service. A decision was made for us to inspect and examine those risks.
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 inspection programme. If we receive any concerning information we may inspect sooner.