Turning Point - Bradford

Updated 13 February 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by a senior specialist and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

This service provides care and support to people living in 14 ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We visited people in their homes at 11 supported living settings. We spoke with 4 people who used the service, 13 relatives and a health professional who works closely with the service. We spoke with 23 members of staff including the registered manager, service manager, site managers, team leaders and support workers. We reviewed a range of records. This included elements of 8 people's care records and multiple medication records. We looked at 5 staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures.

Updated 13 February 2024

About the service

Turning Point – Bradford provides care and support to people living in 14 supported living settings across Bradford. These are adapted houses or bungalows in the community, arranged so that people can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support. At the time of the inspection the service was supporting 59 people.

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

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 CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support: People received care and support to promote their independence. Positive risks were taken to ensure people could access the community and do the things that were important to them. 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.

Right Care: People received care from staff who knew them well and had received the right training and supervision. Medicines were managed safely. Risks to people’s health and safety were assessed and appropriate plans of care followed to keep people safe. People were safe from abuse, staff understood how to keep them safe, and action was taken to fully investigate any concerns.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. People received good outcomes from the service through staff working closely with a multidisciplinary team to meet peoples’ goals and aspirations. Staff took responsibility for ensuring the service worked to a high standard and managers regularly audited and checked service quality.

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

Rating at last inspection and update

The last rating for this service was good (May 2018).

Why we inspected

This inspection was prompted due to the age of the previous rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.