About the service Turning Point - Salford and Bolton Learning Disabilities Supported Living is a 'supported living' service that provides support packages for people with a learning disability or autistic spectrum disorder. Each person has their own individual lease agreement with the housing association and a separate contractual agreement for their support.
The service has a number of 'supported living' settings in the Salford and Bolton district. Each setting contains a number of individual bedrooms or flats and shared or communal gardens, lounges,
kitchens and dining areas. The service provides 24-hour support.
People’s experience of using this service and what we found
People were protected from the risks of abuse and harm and people said they trusted staff to keep them safe. Staff had received training in safeguarding people. People's support needs were risk assessed and support plans provided staff with the information they needed to manage the identified risk. Staff were trained to administer medicines and medicines were managed safely. Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults and staffing arrangements met people’s needs.
Staff had the necessary skills to carry out their roles. Staff had regular training and opportunities for regular supervision and observations of their work performance. People received tailored support that was centred around their assessed needs, choices and decisions. Effective nutrition and hydration support was provided. People's care records contained relevant, up to date nutrition and hydration information for staff to follow. People had access to other healthcare services, ensuring a holistic level of support was provided.
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 statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The staff received training and support to enhance their skills and understanding in relation to maximising choice, promoting person-centred care and creating the right culture.
Support plans were detailed and person-centred. The support plans provided guidance for staff about how best to support people's needs and preferences. People had access to a range of activities, work and social opportunities. Complaints, concerns and constructive feedback was addressed and responded to in line with the provider’s policy. Staff had access to end of life training and end of life care could be facilitated alongside community healthcare professionals.
The registered manager and staff demonstrated a commitment to people and they displayed strong person-centred values. People's choices were respected and staff supported them to achieve good outcomes. Audit systems were in place to monitor the standard of support people received. Measures to assess improvements and continuous learning were in place. The service worked in partnership with other health and social care organisations to achieve better outcomes for people using 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
This service was registered with us on 26/09/2019 and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about an increase in incidents and allegations of abuse. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.