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Supported Living Services Uxbridge

Overall: Good read more about inspection ratings

The Charter Building, Charter Place, Uxbridge, UB8 1JG (01895) 259436

Provided and run by:
PBT Social Care Ltd

All Inspections

During an assessment under our new approach

Date of assessment: 10 April to 27 June 2025.

 

Supported Living Services Uxbridge provides the regulated activity of personal care to people who live in their own homes but are provided with support for daily living (known as supported living). At the time of this assessment the provider was providing personal care and support to 5 people, in 5 separate properties, with mental health needs, learning disabilities and autistic.

 

We carried out this assessment because of concerns raised by the local authority for a person who used the service. The last rating for this service was requires improvement (report published 24 October 2022). This was because staff did not always follow the correct procedures for safe administration and recording of medicines and the provider’s audits had not identified these shortfalls. At this assessment, we found that sufficient improvements had been made, so the provider was no longer in breach of this regulation. However, there were still some areas that required further improvements. The overall rating for the service is good following this assessment.

 

Records about people’s medicines were not always clear or robust enough. However, people received their medicines as prescribed.

 

Staff did not always communicate clearly with external partners and this placed people at greater risk of inappropriate care.

 

We discussed areas of concern with the registered manager and they took action to address these following our feedback.

 

People received a safe service, were protected from abuse and neglect and had their human rights promoted. The service followed safe recruitment processes and there were enough staff deployed to support people in their individual supported living settings. Care and risk management plans were individual and met the needs of people using the service. Staff knew people well and understood how they liked to be supported. Management was approachable and staff felt supported in their roles. The provider sought feedback from people, relatives and staff and used this to develop the service. There were effective systems to monitor the quality of the service and to identify and drive improvements when required.

 

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider was meeting the principles of Right support, right care, right culture.

13 September 2022

During a routine inspection

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.

About the service

Supported Living Services Uxbridge provides one supported living service for up to four people with learning disabilities and autism living in shared accommodation within a supported living scheme in Derbyshire. The aim is for people to live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. At the time of our inspection there were two people using the service.

People’s experience of using this service and what we found

Right support:

People did not always receive the right support. Staff did not always follow the procedure for the safe administration and recording of medicines. We found a number of discrepancies in people’s medicines administration records. (MARs). There were systems in place to monitor the management of medicines but these had not identified shortfalls.

The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

Risks to people’s safety and wellbeing were appropriately assessed and mitigated. There were systems for monitoring the quality of the service, gathering feedback from others and making continuous improvements.

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People's needs were assessed before they started using the service and care plans were developed from initial assessments. People and those important to them were involved in reviewing care plans.

Right care:

People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. The staff supported people in a person-centred way and respected their privacy, dignity and human rights.

Records indicated people’s needs were met in a personalised way and they had been involved in planning and reviewing their care. The registered manager told us the staff were kind, caring and respectful and had developed good relationships with people who used the service.

The provider worked closely with other professionals to make sure people had access to health care services. People’s nutritional needs were assessed and met.

We were unable to speak with people who used the service but spoke to one relative who had mixed views about the service. They had not been involved in care planning and had not seen their family member’s care plan.

Right culture:

Staff were responsive to people’s individual needs and knew them well. They supported each person by spending time with them and listening to them. They ensured that each person felt included and valued as an individual. People were engaged in meaningful activities of their choice. They were consulted about what they wanted to do and were listened to.

Staff told us they were happy and felt well supported. They enjoyed their work and spoke positively about the people they cared for. They received the training, support and information they needed to provide effective care. The provider had procedures for recruiting and inducting staff to help ensure only suitable staff were employed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This service was registered with us on 11 June 2021 and this is the first inspection.

The service was inspected based on the date they were registered with us.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

Enforcement and Recommendations

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 have identified a breach in relation to safe care and treatment and have made a recommendation in relation to good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.