21 November 2022
During a routine inspection
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.