Background to this inspection
Updated
14 April 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 2 inspectors and an Expert by Experience. 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 a registered manager in post.
Notice of inspection
This inspection was unannounced. Inspection activity started on 7 March 2023 and ended on 14 March 2023. We visited the location’s office on 10 March 2023
What we did before the inspection
We reviewed information we had received about the service and information we held about the previous provider. We used this information to plan our 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.
During the inspection
During the inspection we sought feedback from 17 people who use the service, 5 professionals and 3 relatives. We spoke with the registered manager, 2 service managers and 6 members of staff. We reviewed people’s records including medicine files, risk assessments and care plans. We reviewed recruitment systems, staffing levels and rotas.
Updated
14 April 2023
About the service
Agincare Enable Limited (Wiltshire and Swindon) is a supported living service providing personal care for people living in their own homes. At the time of the inspection there were 28 people using the service.
People’s experience of using this service and what we found
People told us they liked the staff that worked with them, we were told they were, “Lovely” and, “Brilliant.”
Staff we spoke with knew people well and understood the expectations of the provider.
People and their relatives told us they felt listened to and involved in peoples’ care. They felt safe and respected.
The registered manager had put quality systems in place to ensure adequate service checks were being done.
Not all staff had received refresher training in line with the provider’s policy, this was something the registered manager was addressing.
The provider was using paperwork from the previous provider and themselves, this could cause some confusion. The provider was working to ensure all paperwork was being updated to reflect the new service.
The provider was moving all recording from paper to electronic systems. This had been delayed due to internet issues so on some occasions records were on both systems.
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 told us they were very happy with the support they received and said there had been improvements since the new provider had started to work with 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.
Right Care
People were supported by staff who knew them well. The provider was driving a change of culture which meant people were positively supported with their life choices.
Right Culture
The registered manager and service managers had set a culture of person-centred support and were leading by example. We observed staff engaging in a person-centred way with people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was requires improvement published on 28 July 2022
Why we inspected
This inspection was prompted because we had previous concerns about risks to the service under the old provider. This inspection was planned to ensure people were being supported appropriately by the new provider.
The new provider had taken action to mitigate the risks, this has been effective.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.