12 January 2023
During a routine inspection
LPTC Solutions Hull is a domiciliary care service providing personal care to people living in their own homes or ‘supported living’ settings. In supported living settings, people’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate the premises used for supported living; this inspection looked at people’s personal care and support.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, there were 4 people receiving support with personal care.
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.
Right Support:
People gave positive feedback about the care they received. However, their care plans and risk assessments were not always detailed and person-centred, so it what not always clear what support people needed and how their needs should be met in a safe way. This put people at increased risk of harm and meant we could not always be certain their needs would be met. We made a recommendation about good practice when recording the support with people’s medicines.
Despite these concerns people felt safe with the care and support staff provided and gave positive feedback about the support they received.
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.
Right Care:
People received kind and caring support from respectful staff. Recruitment checks were completed to help make sure suitable staff were employed and enough staff were employed to safely meet people’s needs.
Staff completed a wide range of training and gave positive feedback about the support and encouragement provided to enable them to provide effective care.
Right Culture:
Clear and complete records were not always available. Information about risks and how risks were managed was not always clear. Audits did not evidence a robust approach to monitoring the quality and safety of the service.
Staff felt encouraged and supported to understand and meet people’s individual needs and gave consistently positive feedback about the approachable and supportive management.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 6 September 2021 and this was the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service and based on when the service was registered.
Enforcement and Recommendations
We identified a breach in relation to the records and governance arrangements at this inspection. Please see the action we told the provider to take at the end of this report. We also made a recommendation about the management of medicines.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.