Background to this inspection
Updated
19 August 2021
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 Care Act 2014.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
The service had a manager who was in the process of registering with us and awaiting their fit persons interview. This means that once registered they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spent time with people who used the service. We spoke with three people who used the service, the manager, and two support staff.
We reviewed a range of records. These included three people’s care records, a variety of records relating to the management of the service, including audits and procedures were reviewed.
After the inspection
We carried out telephone interviews with five relatives and five members of support staff while continuing to seek clarification from the provider to corroborate evidence found. We looked at audits, care plans, reports and policies.
Updated
19 August 2021
About the service
The Wilf Ward Family Trust - Supported Living (Northallerton) provides support to people living in their own supported living accommodation. The service supports people with learning disabilities and/or autism with personal care and support in their own homes. At the time of the inspection, the service was supporting thirteen people living in six houses. There were sleeping-in rooms for staff where required in the houses.
People’s experience of using this service and what we found
We received positive feedback from people and their relatives who told us they were happy with the support they and their relatives received from the service. People received person-centred support and staff knew people well. Support plans covered all aspects of people’s lives and their preferences to ensure a personalised experience. People were supported to maintain important personal relationships in general and during the pandemic.
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 guidance CQC follows 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 were supported to reach their personal goals through person-centred approaches from leadership and staff with the right skills and attitudes to achieve this.
People’s health and well-being needs were supported from the staff team who encouraged people to develop. People were empowered to have their say and to exercise their rights. Access to an advocacy service was available and used when needed. Systems were in place for communicating with people, their relatives and staff to ensure they were fully involved.
Medicines were safely administered and recorded accurately. Individualised risk assessments were in place. Staff were confident they would raise concerns to safeguard people. Robust recruitment and selection procedures ensured suitable staff were employed.
All essential visitors had to wear appropriate personal protective equipment (PPE), provide evidence of a negative COVID-19 test and complete NHS Track and Trace information. Staff completed training in infection prevention and control. The registered manager completed competency checks and regular spot checks with all staff regarding safe use of PPE and infection prevention and control procedures.
People were supported to have choice and control of their own lives where possible and where people needed support from others to make decisions or lacked capacity this wasn’t always recorded or carried out appropriately. We have made a recommendation the effective key question of this report to improve these practices.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 20 November 2019 and this is the first inspection.
Why we inspected
This was a planned first rating inspection. We looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.