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Archived: Stepping Forward Support LTD Inadequate

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 28 February 2020

About the service

Stepping Forward Support LTD is a supported living service that provides personal care and support to people living with a learning disability in their own homes.

At the time of this inspection, the service was supporting four people living in three houses. The service provided staff 24 hours a day with sleeping-in facilities for staff to stay overnight. Only two of the four people supported were receiving personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

People could not be assured they would receive safe care and support. Healthcare professionals had raised concerns that the service was failing to follow advice regarding the diet requirements needed to help manage one person’s medical condition. We found that despite having information and guidance, the service had failed to ensure this advice was implemented. The service had also failed to seek medical advice when this person showed signs of being unwell. This placed the person at risk of receiving unsafe care.

Quality assurance processes, although improved since the previous inspection in August 2019, had been ineffective in assessing, mentoring and improving the safety and quality of the service. The service was receiving advice and support from the local authority’s quality assurance and improvement team (QAIT) as well as the intensive assessment and treatment team for people living with a learning disability (IATT). The manager told us they found their guidance and advice very informative and useful. However, records showed the service did not always follow this advice and was slow to implement changes.

Recommendations for staff training had been made at the previous inspection. The provider told us they had not been able to access formal face to face training. However, they had not sought guidance from other sources, such as information available from professional organisations. This meant people’s needs were not met by staff trained to meet those needs.

Staff recruitment practices remained safe, and there were sufficient staff on duty during the day. We have asked the service to review people’s staffing needs at night when only sleeping-in staff were available.

The relative we spoke with said they felt the care and support their loved one received was safe. They said, “He is happy, and he's well looked after.” They said, “He's been given a lifestyle I could never have dreamed of.”

People received their medicines as prescribed. However, not all staff had been assessed as competent to administer medicines and some staff required an update in their training.

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

Rating at last inspection: The service was last inspected in July 2019 and was rated requires improvement (the report was published on 12 August 2019). There were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

The inspection was prompted due to concerns received about whether people’s health care needs were being managed safely. Healthcare professionals were concerned about how the service was supporting one person with their diet to manage a health condition. Due to safety concerns this person had moved to alternative care provision for a period of assessment. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those

Inspection areas

Safe

Inadequate

Updated 28 February 2020

The service was not safe.

Effective

Requires improvement

Updated 28 February 2020

Caring

Good

Updated 28 February 2020

Responsive

Good

Updated 28 February 2020

Well-led

Inadequate

Updated 28 February 2020

The service was not well-led.