IBC Healthcare Supported Living

Updated 23 December 2022

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 Health and Social Care Act 2008.

Inspection team

One inspector completed this inspection.

Service and service type

This service provides care and support to people living in 5 ‘supported living’ settings, 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

The service had a registered manager. However, they were not working at the time of the inspection. The provider had recruited an interim manager to ensure the service was managed.

Notice of inspection

We gave the service 48 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.

Inspection activity started on 3 November 2022 and ended on 8 November 2022. We visited the office location on 4 and 7 November 2022.

What we did before the inspection

We reviewed information we had received about the service since they registered. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection. 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 took this into account when we inspected the service and made the judgements in this report.

During the inspection

We were unable to talk directly to people during the inspection because they had diverse and complex needs. Instead we spoke with 6 relatives about their experience of the care provided. We spoke with 7 members of staff including support workers, a team leader, interim manager, a member of staff from the positive behaviour support team, the head of compliance, head of operations and the managing director. We also spoke to health care commissioners who were responsible for the monitoring some people’s care and support.

We reviewed a range of records. This included 4 people's care records and medication records. We looked at 4 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 23 December 2022

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 which 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.

About the service

IBC Healthcare Supported Living is a domiciliary care service. They provide personal care to people living in their own individual flats within a supported living setting. Not everyone who used the service received 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. At the time of the inspection 5 people were receiving personal care.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care within their own home. 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

Right Support

People received care and support that enabled them to have choice and control of their care. People's independence was promoted. 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.

People were supported to maintain contact with their relatives. Staff enabled and encouraged people to take part in activities, which they enjoyed doing and helped them to experience new recreational activities. People were encouraged to develop new skills and have active and fulfilling lives.

People’s communication needs were identified. Support plans guided staff in people’s preferred ways to communicate and express their wishes and decisions. The service ensured information was available in different formats.

People were supported by trained skilled staff to meet people’s needs and keep them safe. The provider had taken action in response to concerns from relatives about the lack of continuity of care. The provider ensured each person had a core staff team with regular agency staff to support each person. All staff including regular agency staff were trained and matched with people so that they formed a good relationship and received consistent care.

Risks to people were assessed, managed and monitored, and support plans guided staff how to promote people’s safely and wellbeing. People were supported to maintain their tenancy, including monitoring environmental health and safety.

Right Care

People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and have fulfilled lives.

People received kind and compassionate care. Staff protected and respected people's privacy and dignity. People received care and support that was personalised and provided by trained staff who understood people and their needs.

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.

People were supported with their medicines by staff trained and competent to do so. Staff ensured people were involved in the planning and preparation of meals which they enjoyed.

Staff protected and respected people’s privacy and dignity and promoted their independence. Staff had received training on equality and diversity and respected people’s values and beliefs.

Right Culture

Staff were safely recruited. All staff, including the regular agency staff received ongoing training that included bespoke training based on people’s individual care needs and risks.

Staff received training and information relation to the management and best practice guidance for infection prevention and control. The staff worked well with external agencies and health and social care professionals, in supporting people with their ongoing care and support needs.

People and their relatives were involved in the review of their support plans and to give feedback about the quality of service.

The service had a registered manager. However, they were not working at the time of this inspection visit. The provider’s management team included the head of compliance and an interim manager to manage the service, support staff and monitor people’s care.

There were effective systems and processes in place to continually review, monitor and improve quality and safety. Incidents, accidents and complaints were investigated fully. Action was taken to learn, make improvements and reduce risks to people’s safety and wellbeing.

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 23 January 2022 and changed office address on 16 September 2022. This is the first inspection.

Why we inspected

This was a planned inspection based on the date the service was registered. We assessed whether the service is applying the principles of right support right care right culture.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.