Taylor Support Hub

Updated 2 June 2022

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 one inspector and an Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. They also provide care to people in other settings including community facilities and support people on residential breaks. The service provides support to both children and adults.

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 provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 21 April 2022 and ended on 29 April 2022. We visited the location’s office on 21 and 27 April 2022.

What we did before the inspection

We reviewed information we had received about the service since it had registered with us. We also gathered feedback from the local authority.

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. We used all of this information to plan our inspection.

During the inspection

We spoke six relatives about their experience of the care and support provided. We also spoke with the registered manager.

We reviewed a range of records. This included four people’s care records. We also looked at records relating to the management of the service, including procedures and governance records.

After the inspection.

We continue to review the information we held about the service. We spoke with two staff on the telephone.

Updated 2 June 2022

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.

About the service

Taylor Support Hub provides personal care to people living in their own houses and flats. They also provide care to people in other settings including community facilities and support people on residential breaks. The service provides support to both children and adults. They were currently supporting 11 people.

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.

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

The service could not show how they met some of the principles of right support, right care, right culture

Right Support

People did not always receive the right support as they were not supported by staff to have the maximum possible choice, control and independence, as people’s capacity had not been considered or best interests decisions made. Staff had also not received training in this area to offer the right support.

Not all safeguarding incidents had been reported appropriately to ensure when incidents had occurred people were receiving the right support.

They systems the provider had in place to monitor the service where not always effective in driving improvements to ensure people were receiving the right support. We were not assured that information was stored and shared safely. We had not been notified about all events that had occurred within the service.

Right care

The care people received was person centred, care plans we reviewed were individual to the persons need, and completed with people who were important to them. People were supported by safely recruited staff, who they liked and knew them well. People had staff available to support them when needed.

Staff protected and respected people's privacy and dignity. They offered people choices and promoted their independence where possible. They encouraged them to participate in activities they enjoyed. When they needed support with health care and meals this was provided for them.

Right culture

People were supported by a provider and management team and staff who fully understood the holistic needs of supporting people with learning disability and autism. People were empowered by a staff team to live a fulfilled life that included taking positive risks. The culture of the service was empowering, and the ethos, values and attitudes of the management team and staff was positive.

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 2 July 2020 and this is the first inspection.

Why we inspected

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

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to regulation 11, Need for consent, regulation 13, safeguarding service users from abuse and improper treatment and regulation 17, Good governance.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

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.