21 April 2022
During a routine inspection
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.