Background to this inspection
Updated
25 June 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one adult social care inspector.
Service and service type: MacIntyre Care is registered as a domiciliary care service providing support and personal care to people in their own homes.
The service had two managers registered with the Care Quality Commission covering services in specific geographical areas: Wirral and Cheshire West. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 24 hours’ notice of the inspection visit to ensure that the registered managers would be available to assist us.
Inspection site visit activity started on 21 May 2019 and ended on 29 May 2019. We visited the office location on 21 May 2019 to see the managers and office staff; and to review care records and policies and procedures. We spoke to people who used the service on 29th May 2019.
What we did: Our plan took into account information the provider sent us since the last inspection. We also considered information about incidents the provider must notify us about, such as abuse; and we looked at issues raised in complaints and how the service responded to them. We used all this information to plan our inspection.
During the inspection, we spoke with eight people who used the service.
We also spoke with the registered managers, front line manager, two senior support workers and three members of staff. We looked at six people's care records and a selection of medication and medication administration (MARs). We looked at other records including quality monitoring records, five recruitment files and a training matrix for all staff.
Updated
25 June 2019
About the service: MacIntyre Telfords Quay is a supported living service which is registered to provide personal care predominantly for people with learning disabilities who live in their own homes within the local community. The service was providing personal care to approximately 30 people at the time of the inspection.
People’s experience of using this service:
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider ensured they were applied.
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; promotion of choice and control, independence, and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People either spoke to us verbally or used other communication methods to make their views known. People gave us an account of their lives and how the staff support had been positive for them. People told us that “[staff] are kind, helpful and good”. Those who used other communication methods were relaxed and comfortable with the staff team and felt relaxed in this presence. People made their needs known and were able to direct staff to their needs.
People received safe and effective care from staff that were caring and focussed on upholding the rights of the people they supported. Care plans were person centred and covered all aspects of people’s lives, needs, preferences and daily routines. People’s needs had been fully assessed prior to the service providing support.
Staff had a detailed knowledge of the people they supported and had developed positive relationships with them. Staff received training relevant to the needs of the people supported ensuring that support was effective. Sufficient staff were employed to meet the needs of the people supported and these were regularly reviewed. Staff were supported through regular supervision and team meetings.
Risks that people faced in the support they received and from their wider living environment were recognised and mitigated. People were protected from abuse through staff training and robust policies and procedures. Medicines were safely managed.
People were supported by staff who were very familiar with their needs. People were encouraged to use appropriate methods of communication so that they could make their needs known. Care plans sought to maximise people’s independence in their lives. People were supported to pursue their chosen activities both within their homes and in the wider community. Appropriate support was provided for this. People who used the service received support that was well organised and subject to checks to ensure that the quality of support met people’s needs.
Rating at last inspection: MacIntyre Telfords Quay was rated Good
at our last inspection. The report of the last inspection was published on 9 November 2016.
Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk