Access for Living

Date of Assessment: 19 November and 20 November 2024. Access for Living is a domiciliary care service which provides personal care to autistic people and people with a learning disability living in their own homes. At the time of the inspection 4 people were receiving support with personal care. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The provider was in breach of legal regulations relating to good governance. Risks to people's health and wellbeing and medicines were not always managed. The provider did not always carry out capacity assessments when they had reason to believe people lacked capacity to make decisions about their care. The provider’s quality assurance processes had not identified the issues we found in relation to risk management, medicines and mental capacity assessments. We have asked the provider for an action plan in response to the concerns found at this assessment. Staffing levels were sufficient to maintain people's safety and ensure their health and social needs were met. People and their relatives were involved in the assessment and ongoing review of their needs. People’s communication, personal and health needs were considered and person-centred plans put in place to meet these. People were treated with kindness and compassion by well trained staff that knew them well. People were supported to access the local community in line with their personal preferences and interests and their independence was promoted. Leaders and care staff ensured people led confident, inclusive and empowered lives. The provider worked in partnership with other health and social care professionals.

Date of Assessment: 19 November and 20 November 2024. Access for Living is a supported living service which provides personal care to autistic people and people with a learning disability living in their own homes. At the time of the inspection 16 people were receiving support with personal care. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The provider was in breach of legal regulations relating to safe care and treatment, good governance and failure to notify. We identified some issues with medicine management, we raised this with the registered manager, and they took prompt action to address the concerns and sent evidence of improvement following the site visit. We also identified some fire evacuation plans showed some people would not be able to be evacuated by staff in an emergency. The provider is liaising with London Fire Brigade to assess these risks. We have asked the provider for an action plan in response to the concerns found at this assessment. People and their relatives were involved in the assessment and ongoing review of their needs. People’s communication, personal and health needs were considered and person-centred plans put in place to meet these. People were treated with kindness and compassion by well trained staff that knew them well. People were supported to identify and attend activities in line with their personal preferences and interests. People's independence was promoted and they were supported to work towards long-term goals and aspirations. Leaders and care staff ensured people led confident, inclusive and empowered lives. The provider worked in partnership with other health and social care professionals.