This announced inspection was carried out on 18 January 2017. Personalised Support Team – North Nottinghamshire is a domiciliary care service which provides support and personal care to people with learning disabilities living in their own homes in north Nottinghamshire. Prior to the inspection the provider told us there were 17 people using the service who received personal care, five of whom are in a supported living service. The service had a registered manager in place at the time of our inspection, however they had been off work for a period of over 28 days. There was a temporary manager in place managing the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported by staff who understood the risks people could face but may not know how to keep people feel safe. People were supported by a regular individual or group of staff who they knew, however people may not receive the support they require to take their medicines safely.
People were provided with the care and support they wanted by staff who were trained and supported to do so. People’s human right to make decisions for themselves was respected and they provided consent to their care when needed. Where people were unable to do so the provider followed the Mental Capacity Act 2005 legal framework to make the least restrictive decisions in people’s best interest.
People were supported by staff who understood their health conditions and ensured they had sufficient to eat and drink to maintain their wellbeing.
People were treated with dignity and respect and their privacy was protected. Where possible people were involved in making decisions about their care and support.
People’s plans of care did not contain all the information staff needed to meet their needs. People were informed on how to raise any complaints or concerns, and these were usually acted upon when they did so.
The management of the service had been through a reorganisation and was establishing itself following this. There were systems in place to monitor the quality of the service and make improvements when needed, but these were not always effective.
We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full report.