Background to this inspection
Updated
13 December 2022
The inspection
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff. We did however visit the home of one person who would have difficulty in communicating with us over the telephone or using video technology.
Inspection team
This inspection was carried out by two inspectors.
Service and service type
This service provides care and support to people living in their own homes as a ‘supported living’ setting, 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours' notice of the inspection. This was to make arrangements to carry out a virtual inspection and we needed to be sure that the provider or registered manager would be available to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all this information to plan our inspection.
During the inspection
We spoke with one person who used the service and one relative about their experience of the care provided. As well as speaking with people we observed staff interactions and people’s body language whilst in one person's home. We reviewed a range of records. This included care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
13 December 2022
About the service
Transforming Care North is a supported living service providing personal care to people in their own home. The service provides support to people with mental health needs and a learning disability and autistic people. At the time of our inspection there were two people using the service.
Transforming Care North support people in their own homes in Leeds and Hull. Not everyone who use the service receive personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
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: Model of Care and setting that maximises people’s choice, control and independence
People were supported by staff to pursue their interests and to access the community.
People were supported to have maximum choice and control of their lives and staff attempted to support people in the least restrictive way possible and in their best interests.
Staff adhered to safe practices in relation to infection prevention and control.
People had access to specialist health and social care support. Staff supported people to have an active role in maintaining their own health and wellbeing.
Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights
People had support plans and risk assessments which they were involved in writing and reviewing. These could be further developed to reflect people's goals and outcomes.
There was enough appropriately skilled staff to meet people’s needs and to keep them safe.
Staff were able to communicate with people and worked with communication tools such as social stories, a pictorial story to explain a situation.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity.
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
People were supported by staff who understood best practice in relation to supporting people with mental health needs and a learning disability. However, there were areas of improvement needed in relation to embedding learning and psychological approaches to improve staff confidence. The service had recent management and staff turnover. The registered manager had now recruited to these posts but acknowledged there had been some leadership deficits in recent weeks.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 29 October 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.