Background to this inspection
Updated
19 July 2016
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 03 June 2016 to inspect the records and was unannounced. A further visit was arranged for 06 June 2016, to meet with people who use the service, staff and a relative.
The inspection was carried out by one adult social care inspector.
Before the inspection we reviewed all the information we already held on the service. A PIR was requested from the service on 12 January 2016 and submitted on 12 February 2016. The PIR is a form that asks the provider to give some key information about the service. MacIntyre Warrington although their office is based in Warrington they work with people funded from other local authorities. We contacted the local authority contracts quality assurance team to seek their views. We spoke also with one of the relevant local authority safeguarding teams.
During the inspection, we used a number of different methods to help us understand the experiences of people using the service. We organised a coffee morning to meet with some people using the service, we visited two people living in their own tenancies and we met with people attending the organisations offices for activities.
We reviewed six care records and spoke with eight people using the service. We examined the staff training records, looked at six staff recruitment files (including one new starter). We interviewed fourteen staff, including two registered managers and the administrator. We also had the opportunity to speak with a relative at the coffee morning.
The registered manager for the supported living service made themselves available throughout the inspection.
Updated
19 July 2016
The inspection tool place on 03 and 06 June 2016 and was unannounced.
The service was last inspected on 06 January 2014 and was meeting the required standards as expected by inspection processes at that time.
MacIntyre Care is a national organisation providing care and support services for adults and children with autism, learning and/or physical disabilities. MacIntyre Warrington is situated in the centre of Warrington and supports adults and children.
The types of services offered from this location include people living in their own tenancies in single occupancy or shared housing, “Supported living”. People living with families as part of the “Shared lives” scheme, and an outreach support service available to support people with daily activities, education and work, known as “No Limits”.
The organisation has registered three managers at this location each one has a specific responsibility for one type of 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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Some people who used the service did not have the ability to make decisions about some parts of their care and support. Staff had an understanding of the systems in place to protect people who could not make decisions and followed the legal requirements outlined in the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS).
The risk of abuse was minimised because there were clear policies and procedures in place to provide staff with information on how to protect people in the event of an allegation or suspicion of abuse.
Policies and procedures were in place to support staff with safe administration of medicines and we saw that there were processes to safeguard people when errors occurred.
Suitable recruitment processes and checks were in place to minimise the risk of unsuitable people being employed to work with vulnerable people.
Staff received training and support to enable them fulfil their role.
The service took account of people’s diverse needs and care plans were written in a person centred way.
Staff had good relationships with people who used the service and were attentive to their needs and aspirations.
Systems were in place to audit and monitor the quality of the service provided. Audits were carried out and where shortfalls were identified the management were using the information to improve the service.