Aspirations Leicestershire

Not everyone who used the service received personal care, the Care Quality Commission 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 32 people were receiving support with 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: The model of care maximised people’s choice, control and independence. The service promoted supported independent living. People were supported in their own homes, these were a combination of separate flats and shared houses. Some people had a self-contained flat, whilst others had their own bedroom but shared facilities with other people.

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.

Right Care: Care was person-centred and promoted people’s dignity, privacy and human rights. People had a structured lifestyle based on their choice and preferences. Staff were appropriately skilled and competent to meet people's needs and keep them safe. Staff knew and understood people's communication needs, and this supported positive respectful relationships and interactions. People's independence and abilities were promoted. People lived active lives and were supported to maintain relationships with friends and family.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives. People's wishes and needs were at the centre of everything. The provider, registered manager and staff were motivated to achieve good outcomes for people and were caring and compassionate. Systems and processes for monitoring and improving quality and safety were effective. The culture and values were based on people's views and priorities and were shared by people, staff and managers.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 8 March 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Supported living

The service run several schemes in Leicestershire and are a combination of separate flats and shared houses. Each scheme varies and some people will have a self-contained flat, whilst others will have their own bedroom but share facilities with other people. Each scheme is different with some having a separate bedroom for staff sleeping there over-night.

Not everyone who used the service received personal care, the Care Quality Commission 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 31 people were receiving support with personal care.

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

People and their relatives were not always satisfied with the care and support they received.

People did not always feel safe. Staff had received safeguarding training, however there had been numerous safeguarding incidents reported by partner agencies. Risk assessments were in place to help manage the potential risks within people's lives. People received their prescribed medicine by trained staff. Effective infection control processes were in place.

There were not enough staff available to meet people's needs. Recruitment procedures were safe. Staff had been recruited following relevant checks being completed.

People were supported to maintain good health and access health care professionals. Where appropriate, referrals to health care professionals were made.

Care plans were person centred, detailing how people liked to be supported. People were not always consulted about their care and support needs.

The registered manager provided clear leadership and was committed to providing good quality care. Systems were in place to monitor the quality and safety of the service and to address recent concerns.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, 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 providing support to people with a learning disability and/or autistic people.

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 01/05/2019 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received from partner agencies and the provider in relation to several safeguarding issues. A decision was made for us to inspect and examine those risks.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.