- Homecare service
Supported Living Services Uxbridge
Report from 14 March 2025 assessment
Contents
Ratings
Our view of the service
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.
People's experience of this service
Some people were unable to give us direct feedback about the quality of the care and support they received. To help us find out about people’s experience of the service, we visited and met with 4 out of 5 people, spoke with 2 relatives and obtained feedback from other health and social care professionals. We also spoke with staff and looked at a variety of information that provided reliable evidence of people’s lived experiences, including care plans, daily notes and records of social and leisure activities.
People and their relatives told us they felt safe when they were supported by staff from the service. People said they felt staff were trained to support them safely and respected their rights, privacy and dignity. People knew how to raise concerns if needed and told us staff were kind and caring. People were involved in their needs assessments, as well as compiling and reviewing their care plans and risk assessments. The people who received support with their medicines said they were happy with the way the service and care staff managed these. People and their relatives told us they felt they were treated fairly and supported in accordance with their individual needs and wishes. Noone had experienced any discrimination or inequality whilst using this service. People said they were supported and encouraged to maintain their independence and avoid social isolation as much as possible.