We carried out a review of the data available to us about Aspects Care - Grimsby on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Aspects Care - Grimsby, you can give feedback on this service.
About the service
Aspects Care – Grimsby is a supported living service in 1 building providing care and support to younger adults, who may be living with a learning disability or autistic spectrum disorder, sensory impairment, or a physical disability. A supported living service is where people receive personal care and support to enable them to live as independently as possible. At the time of our inspection, there were 4 people using the service.
People’s experience of using this service and what we found
Right Support
Staff received training they needed to meet people's needs. Management had effective systems and processes in place to ensure oversight of the safety and quality of the service. 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.
We observed people were comfortable in the company of the staff who supported them; interactions were positive and meaningful. People were encouraged and supported to be independent and to engage in tailored activities and pursue interests that were important to them. Staff spoke knowledgeably about how they ensured people received care that met their diverse needs, including protected characteristics.
Right Care
Care plans reflected the underpinning principles of Right support, right care, right culture. People received responsive, person-centred care that met their individual needs. Staff observed people's privacy, dignity and confidentiality and treated them with respect. There were enough suitably trained, recruited and supervised staff to meet people's needs. Risks to people were regularly monitored and assessed and adapted where needed. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
Right Culture
A person-centred and inclusive culture was evident in the service. Staff worked well with each other and morale was good. Staff felt recognised and valued by the provider and management team. Complaints, concerns, accidents, incidents and safeguarding issues were appropriately reported, recorded and investigated. Effective governance frameworks were in place to underpin continual development of the service and ensure people received good quality of care.
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 and update
The last rating for this service was requires improvement (published 8 April 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced inspection of this service on 17 March 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Aspects Care - Grimsby on our website at www.cqc.org.uk.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Aspects Care – Grimsby is a domiciliary care service providing care and support to older people and younger adults, who may be living with a learning disability or autistic spectrum disorder, dementia, mental health needs, or a physical disability. At the time of our inspection, there were four people using the service.
People’s experience of using this service and what we found
The service was not always well-led. The provider's quality assurance systems were not always effective in identifying and addressing issues.
Infection control measures were not effectively implemented. Staff did not consistently follow guidance regarding personal protective equipment (PPE).
Medicine practices were not always in line with best practice guidelines.
Staff were motivated to provide person-centred care based on people's choices and preferences.
Staff knew how to keep people safe from abuse and were confident raising concerns with external agencies.
People were happy with the care they received, they felt safe and well looked after. Staff had been recruited safely.
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.
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 statutory guidance which supports the Care Quality Commission (CQC) 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.
The model of care and setting maximised people's choice, control and independence. People's dignity, privacy and human rights were promoted. The ethos, values, attitudes and behaviours of care staff ensured people using the service led confident and inclusive lives.
Rating at last inspection
This service was registered with us on 16 October 2019 and this was the first inspection at the new location.
The last rating for the service at the previous premises was requires improvement, published on 17 October 2019.
Why we inspected
This was a planned comprehensive inspection based on when the service was registered.
We found evidence the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took
account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering
what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We will continue to discharge our regulatory enforcement functions required to keep people safe and to
hold providers to account where it is necessary for us to do so.
We have identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This includes breaches in relation to infection prevention control, management of medicines and good governance.
Please see the action we told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.