14 April 2022
During a routine inspection
People’s experience of using this service and what we found
The provider did not have a robust policy in place to ensure new staff were recruited following the necessary checks. The provider had not notified us of notifiable events which they needed to under the legislation. Risk assessments were in place and action taken to reduce risks. However, we noted two specific risks had been identified but not enough information was available to mitigate the risks. The provider was not following current government guidance regarding the use of personal protective equipment and COVID-19 testing.
The registered manager responded to the issues we found straight away and made changes. For example, after we highlighted current government guidance, they told us staff had started to wear face masks again.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
People’s needs were assessed to ensure the provider can meet people’s needs before they agreed to provide care and support. The provider ensured there were enough staff to meet people’s assessed needs.
The provider had a training programme in place which included training specific to people’s needs.
The provider and staff worked with other agencies to ensure people’s needs were supported.
People were supported to access general and specialised health care professionals. People were supported with taking their medicines by staff who had received medicines training.
People were supported by staff who treated them with kindness. Staff encouraged people to be involved in making decisions about their care. Staff respected people’s privacy and dignity.
People had care plans in place which were individual and personalised to them. Care plans included people’s wishes about aspects of their daily lives and how they wished to be supported. People were supported to undertake their own interests and activities. People were supported to prepare and cook their own meals.
The provider had a complaints procedure in place and systems for continuous learning and improving care.
The registered manager promoted a positive working culture which was person centred and involved people and their relatives, where appropriate, in all aspects of their care. The registered manager attended and contributed to multi-disciplinary meetings which were held to discuss people’s individual needs and to consider how their needs were best met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
This service was registered with us on 22 August 2017 and this is the first inspection. The service did not start providing care and support for some time.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook this comprehensive inspection so we could give this newly registered service a rating.
Enforcement
We have identified a breach in relation to safety checks on new staff at this inspection.
Please see the action we have told the provider to take at the end of this report.
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 to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.