Date of assessment 23 June to 29 July 2025. Yorkshire supported living service is a supported living service which consists of 3 separate buildings with communal facilities and easy access to the community. People living at the service had their own tenancy; and received varying levels of support from the provider. The service supports up to 30 people and 29 people were living at the service at the time of our assessment with learning disabilities and mental health conditions. Not everyone who used the service received personal care, the number at the time of the assessment receiving personal care was 14. The assessment was carried out to review the service due to the age of the previous rating. We have 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. We found there was a culture of safety and saw concerns were raised and investigated. People were supported to have choice and control and give feedback on their care. Staffing levels were safe, and staff received appropriate support and supervision to carry out their role effectively. Medicines were managed and administered safely. The service had clear and effective governance systems in place. People were involved in assessments of their needs. Staff reviewed assessments, taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice.
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Woodleigh Care requires improvement overall due to failures in clinical waste disposal and insufficiently analysed staff and service user surveys that missed unresolved cultural concerns within the provider organisation. Caring, effective and responsive practice were consistently good, with strong person-centred care planning, medicines management and incident learning.
Concerns (4)
moderateInfection control: “there was no sluice or clinical waste bin available, so the clothes were bagged up and binned”
moderateGovernance: “a survey completed for people who used the service however it was not meaningfully analysed and an action plan was not created”
moderateLeadership: “staff were generally not positive about the provider and the impact certain policies were having on their workload”
minorRecord keeping: “there was one instance where a person's care plan was not reflective of their changed needs”
Strengths
· People felt safe and described staff as kind, respectful and 'like friends'
· Medicines were delivered, stored and administered safely with regular MAR audits and competency checks
· Robust incident and accident analysis including cross-service learning shared with staff
· Person-centred care plans with detailed positive behaviour support plans and clear de-escalation guidance
· People supported to develop independence, access community, education, activities and relationships
Quality-Statement breakdown (21)
safe: Preventing and controlling infectionRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Meeting people's communication needsGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Supporting people to develop and maintain relationships and take part in activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Working in partnership; engaging and involving people, the public and staffRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: Managers and staff being clear about roles; continuous learning and improving careGood
Woodleigh Care was rated Good across all five key questions at its October 2016 inspection, demonstrating safe medicines management, person-centred care planning, strong staff support structures, and effective governance. The only minor gap identified was an absence of formal written responses to some repeated complaints, which the provider addressed through tenants meetings and keyworker reviews.
Concerns (1)
minorComplaints handling: “some complaints regarding the same concern had been acknowledged, although there was no formal record of how the provider had responded to this issue”
Strengths
· Safe medicines management with consistent MAR completion, secure storage, temperature recording, and regular medication audits by registered manager and clinical services manager
· Robust recruitment processes including DBS checks, gap analysis in employment history, and ongoing DBS renewal monitoring
· Staff received thorough induction, up-to-date mandatory and specialist training, quarterly supervisions, and annual appraisals
· Decision-specific mental capacity assessments and best interest decisions recorded in care plans in line with MCA 2005
· Detailed, person-centred care plans including 'personal care plans' in easy-read format co-produced with people