First inspection of this newly registered supported living service rated Good across all five key questions, with people receiving safe, person-centred care from a consistent, well-trained staff team. Minor improvements were noted around documenting pathways to long-term goals, refurbishing dated bathrooms, and fully embedding 'Right support, right care, right culture' principles.
Concerns (4)
minor
Care planning
: “Pathways to future goals and aspirations were not always clearly documented... the smaller steps and development of skills needed to reach these goals were not always explored.”
minorInfection control: “Some bathrooms in one of the settings needed repair and where potentially difficult to keep hygienic. This was being addressed through a programme of refurbishment that had been delayed by the pandemic”
minorPerson-centred care: “Some improvements were required to ensure adherence to the principles of 'Right support, right care, right culture' and that people would be consulted with about who they lived with.”
minorOther: “One of the supported living settings accommodated nine people with a learning disability. The size of the service was not in-line with best practice guidance.”
Strengths
· Staff knew people well and understood how to safeguard them from abuse, working effectively with other agencies
· Safe medicines management with implementation of STOMP principles
· Consistent staff team with very low turnover and no agency staff used
· Person-centred care with people involved in interviewing new staff
· Good staff training including positive behaviour support, trauma-informed care and human rights
Quality-Statement breakdown (26)
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: Preventing and controlling infectionGood
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: Adapting service, design, decoration to meet people's needsGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
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: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood