Background to this inspection
Updated
6 December 2023
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 14 and 22 November 2023. The inspection was announced at short notice so that we could arrange suitable times to visit people supported by the service. The inspection was carried out by one adult social care inspector. An Expert-by-Experience made telephone calls to people’s relatives and representatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service provides care and support to people living in 'supported living' settings, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was two registered managers in post.
Notice of inspection
We gave the service 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke with two registered manager and the Area Manager. We reviewed a range of records. This included 3 people's risk assessments and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed. We visit three homes on the second day at different times throughout the day to talk with people and staff and observe PPE practices in the home.
Updated
6 December 2023
About the service
St Anne’s supported living service – Bradford provides care and support to people living in a number of 'supported living' settings, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection we looked at people's personal care and support. The service supports people with physical disabilities, learning disability and mental health support needs. 29 people were being supported by the service at the time of the inspection.
People’s experience of using this 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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right support: The service maximised people’s choice, control, and independence. Staff were mostly safely recruited and received an induction followed by training from the provider. Training was completed by staff. Staffing capacity was enough to meet people’s needs.. The provider followed best practice guidelines to effectively manage people's medicines and risks associated with infection prevention and control (IPC). People and their relatives were positive about the care provided. People told us they liked their home and the staff who supported them.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. If people lack capacity to make certain decisions appropriate support is sought to support them.
Right care: Care is person-centred and promoted people's dignity, privacy, and human rights. People were encouraged to communicate freely and accessed the community for activities when they wanted to. Staff supported people to learn new skills and maintain important contacts. Staff knew people well and understood their support needs which empowered people to make decisions about their care.
Right culture: People who use services had inclusive, and empowered lives through care staff's ethos, values, attitudes, and behaviours. Regular communication between the service and family members and medical experts helped to foster positive working relationships.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 30 October 2018).
Why we inspected.
We inspected due to the length of time since the last inspection.
We undertook a focused inspection. This report only covers our findings in relation to the Key Questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed not changed. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Anne’s Community Services – Bradford on our website at www.cqc.org.uk.
Follow up.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.