You & Me Supported Living Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We assessed a total of 6 quality statements from this key question. We identified 1 breach of the regulation in relation to governance. There were governance systems in place, regular audits were undertaken, with actions documented via email to the appropriate person. Although actions were in in place, there was limited oversight of the actions therefore there was no way to measure or track changes to monitor if actions were being carried out. Although these audits were in place, concerns found during the assessment such as competency assessments for medicines, limited information around risk, competency assessments for first aid, and PRN protocols, had not been identified. The registered manager and staff team worked hard to maintain a positive person-centred culture which put people’s achievements and independence at the heart of what they did. Staff felt supported by managers, and understood people’s needs, built strong relationships with them and the service was responsive to feedback.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

External partners had confidence in the service. Staff felt valued and able to raise concerns and gave positive feedback about the service. They felt the senior staff and the provider listened to them when they had any questions or concerns.

The provider had identified a set of values and objectives for the way in which care was provided. There were regular meetings, communication and supervisions where care workers could ask questions about the care provided and receive support.

Staff told us the managers and the Registered manager were responsive and compassionate. We heard “Yes I feel supported, it’s not just about work, they ask about your overall wellbeing and if there’s anything you’re struggling with.” Staff felt included in how the service was run and commented the Registered Manager was “Very approachable, very knowledge, and very responsive.” The registered manager was passionate about the service, staff and the care being provided.

There were regular staff meetings, where staff discussed updates and changes to the service and people’s needs. Staff received regular supervisions and oversight.

Staff told us they felt comfortable raising concerns or seeking support. We heard the registered manager was supportive and available. Staff felt confident to be able to talk up at team meetings and talk through things openly.

There was a system in place in which staff could raise concerns and these were investigated by the registered manager. We heard examples where a staff member had whistleblown in relation to a concern they had, which staff felt was fully investigated by the registered manager and appropriate action taken.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider explained they had a clear management structure, and held weekly meetings with managers in order to maintain oversight of the services. Staff and the leadership team said regular meetings were in place records confirmed this.

The registered manager carried out audits of the service to identify areas for improvement. Emails were sent to other managers to address any inconsistencies found within care planning and risk assessments. However, there was no oversight of these actions to ensure they had been completed, and audits had not identified the concerns around risk assessments and training we found during assessment. There were systems in place to monitor the quality of service in order to gather people's views. These included a range of checks and audits to monitor the quality and safety of the service and to help drive improvements. People, their relatives and staff were encouraged to express their opinions, and their feedback was acted on. The provider had noted some improvements could be implemented in the way in which they collected information, which had been implemented. The provider understood their regulatory requirements and submitted notifications to CQC appropriately.

People were supported to access the community and attend regular appointments.

The registered manager said at present they worked with a range of professionals such as, nurses, social workers, the learning disability team, GP’s , speech and language therapists, and other professionals where needed. Staff we spoke to valued the input from professionals, we heard “We raised things to make sure things were in place, the nurses were involved, management were quick to respond and we feel more comfortable now we have more information to support people based on their needs.”

We received positive feedback from people who worked with the service. Comments included “The service kept me up to date via email and telephone call throughout their assessment process. They responded to any questions quickly” and “You & Me are attentive, strengths based and person centred. They work well with young adults and their families to ensure a smooth transition; providing all the information relevant in a timely manner. You & Me respond effectively in a timely manner to any correspondence.”

There was a system in place to enable the registered manager to make referrals to appropriate external agencies or professionals.

The registered manger told us how they actively keep up to date with changes and this was to improve and develop the service provided.

Systems and processes to support learning and improvement were effective. Learning from incident and accidents were shared with staff. The provider welcomed input from local authorities, and feedback was listened to and actioned. Actions from learning had also been added onto a service improvement plan.