Background to this inspection
Updated
11 March 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to services with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 4 February 2021 and was announced. We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this
Updated
11 March 2021
This inspection was completed on 4 and 5 September 2018 and was unannounced.
Turning Point is a supported living service. This service provides care and support to people living in four separate 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. There were 30 people receiving the regulated activity of ‘personal care’ from Turning Point at the time of the inspection.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The previous inspection was completed in June 2017 and the service was rated ‘Requires Improvement’ overall. At that inspection we found two breaches of the regulations. The registered person was not operating effective recruitment procedures. They did not ensure all the required information was obtained before appointing new staff. Risk assessments did not consistently provide clear guidance about the hazards people faced and how these were managed. Quality assurance systems had not always identified these shortfalls.
At this inspection, we found improvements have been made and the service has been rated ‘Good’ overall.
People received safe care and treatment. Staff had been trained in safeguarding and had a good understanding of safeguarding policies and procedures. The administration and management of medicines was safe. There were sufficient numbers of staff working at the service. There was a robust recruitment process to ensure suitable staff were recruited.
Risk assessments were updated to ensure people were supported in a safe manner and risks were minimised. Where people had suffered an accident, themes and trends had been analysed, and action had been taken to ensure people were safe. Arrangements were in place to minimise the risk of re-occurring risks.
Staff had received training appropriate to their role. People were supported to access health professionals when required. They could choose what they liked to eat and drink and were supported on a regular basis to participate in meaningful activities.
People were supported in a personalised way that encouraged them to be as independent as possible. People were given information about the service in ways they wanted and could understand.
People and their relatives were positive about the care and support they received. They told us staff were caring and kind and they felt safe. We observed staff supporting people in a caring and patient way. Staff knew the people they supported well and could describe what they liked to do and how they liked to be supported.
The service was responsive to people’s needs. Care plans were person centred to guide staff to provide consistent, high quality care and support. Daily records were detailed and provided evidence of person centred care. Where required, people were supported to make decisions about end of life care which met their individual needs and preferences.
The service was well led. People, staff and relatives spoke positively about the registered manager. Quality assurance checks were in place and identified actions to improve the service. The registered manager sought feedback from people and their relatives to continually improve the service.