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Inshore Support LTD - Supported Living Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 June 2019

The overall rating for this service is requires improvement

About the service:

Inshore Support LTD - Supported Living is a supported living service providing personal care to 21 people with learning disabilities, and physical disabilities. All people receive a minimum of one-to-one support throughout the day and night

People’s experience of using this service:

There was a high use of agency staff and staff turnover meaning consistent care and support was not always delivered. Relatives, staff and professionals told us that there was a lack of activities and this effected people's quality of life and behaviours.

Quality assurance processes were not effective and did not pick up all the issues we identified. This included care plans and risk assessment not being accurate and up to date.

Systems and processes were not being used effectively to ensure people received good quality care. We saw monitoring charts that were not effective in relation to fluids and medicines.

The provider had not assessed people’s capacity in relation to day to day decisions and there were restrictions written into people’s care plans with no supporting evidence. It was not evident whether people had agreed or consented to some areas of their care and treatment or had contributed to the development of their care plans.

People were supported to access health care services when they needed, and we saw referrals had been made to the local community teams.

Relatives said they could talk to staff. People and relatives were confident if they raised a complaint, it would be dealt with appropriately.

Rating at last inspection

At the last inspection the service was rated good (report published 04 June 2016). The overall rating of this service has dropped since the last inspection.

Why we inspected

This was a planned inspection based on the ratings at the last inspection. The inspection took place on 03 and 04 April 2019

Enforcement

Full information about The Care Quality Commission’s (CQC) regulatory response to more serious concerns found in inspections and appeals is added to reports after any representation and appeals have been concluded.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 8 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 8 June 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 8 June 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 8 June 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 June 2019

The service was not always well-led.

Details are in our well-led findings below.