24 October 2023
During a routine inspection
About the service
29 Bushy Hall Road is a supported living service providing personal care for 5 people. The service supports people with a learning disability and autistic people. At the time of our inspection there were 6 people using the service.
People’s experience of the 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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
Risks to people were not always properly assessed and updated which meant some information about people was not correct. We made a recommendation to the provider ensure there was appropriate information to guide staff. People were supported by staff who did not always know the people well or understood their needs. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Staff did not always receive the necessary training to safely care for people. The home had recently recruited a new manager who had worked at the home previously. They had made positive changes immediately and were open and transparent and responsive to all our feedback throughout the inspection.
Right Care
People were not always supported in a caring way. Staff were not always meeting people’s communication needs. Staff were undergoing refresher training to make sure they had the necessary training to care for people. Staff were starting to support people to make independent choices and support them to attend activities which they enjoyed doing.
Right Culture
There had been changes in managers at the home and this had impacted on how care was been delivered however the provider had not identified people were not supported to achieve their potential when they were visiting the home completing quality assurance visits.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating under this previous provider was good published (18 December 2017)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for 29 Bushy Hall Road on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to consent, staffing and good governance. We made a recommendation to the provider to review all risk assessments to ensure they provide the correct information to support people safely. Please see the action we have told the provider to take at the end of this report.
Follow Up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.