Humbercare Ltd Grimsby Office

Humbercare Ltd Grimsby Office is a supported living service. It provides care and support to people with a learning disability or who are autistic, living in a 'supported living' setting, so they can live as independently as possible.

Not everyone who uses the service receives personal care. CQC only inspects the service being received by people who are provided with the regulated activity of 'personal care'. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection, the service was providing personal care to 9 people with a learning disability and autistic people.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The service was able to demonstrate how they were meeting underpinning principles of 'Right support, right care, right culture'.

Right Support

Staff received training they needed to meet people's needs. Management had effective systems and processes in place to ensure oversight of the safety and quality of the service. 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.

We observed people were comfortable in the company of the staff who supported them; interactions were positive and meaningful. People were encouraged and supported to be independent and to engage in tailored activities and pursue interests that were important to them. Staff spoke knowledgeably about how they ensured people received care that met their diverse needs, including protected characteristics.

Right Care

Care and support were provided according to people's individual needs and wishes. Staff ensured people's privacy and dignity were respected. People felt safe with staff and enjoyed spending time with staff who they knew well. Staff had a good understanding of people's care needs and ensured care and support was personalised.

Risk assessments provided up to date guidance and information for staff. They gave information for how staff could ensure people made informed choices and lived their lives.

Robust recruitment practices were followed. Appropriate checks were completed to ensure only suitable staff were employed. There was an ongoing process of staff recruitment to ensure people were supported safely and effectively. Staff received an induction and were well supported through a programme of regular supervision, spot checks and training. There were enough staff on shift to ensure people received safe care and support.

Right Culture

There was a positive culture for the people who use the service. Staff who worked there benefited from the support from the management team, including values checks at supervisions and feedback calls from the registered manager. Staff that we spoke with spoke positively about their roles and about providing care to people who used the service.

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

Rating at last inspection

The last rating for this service was good (published 12 October 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service and the time that had passed since our last inspection.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Humbercare Ltd Grimsby Office on our website at www.cqc.org.uk.

Follow up

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

Humbercare Ltd Grimsby Office registered with the Care Quality Commission in September 2016, this was the first inspection of the service.

The service had a registered manager. 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.

We found staff were recruited safely and sufficient numbers of staff provided individual packages of care and support. Staff received training in how to safeguard people from the risk of harm and abuse and they knew what to do if they had concerns. Medicines were handled safely and staff had received training in this area. We saw people had assessments of their needs prior to admission to the service and staff completed risk assessments and care plans.

Staff understood how to gain consent from people who used the service; the principles of the Mental Capacity Act 2005 were followed when people were unable to make decisions for themselves. People who used the service were supported to eat a healthy diet, drink sufficiently to meet their needs and were supported by a range of healthcare professionals to ensure their needs were met effectively.

Staff were observed as kind and caring during their interactions with people and privacy and dignity were respected.

The registered manager and staff were responsive to people’s changing needs. Reviews of people’s care were held on a regular basis and they were involved in the initial and on-going planning of their care. Care plans were in place, which focused on supporting people who used the service to maintain their independence and develop their daily living skills whilst remaining safe.

The service was led by a registered manager who understood their responsibilities to inform the CQC when specific incidents occurred led the service. A quality assurance system was in place that consisted of audits, daily checks and questionnaires and action taken to improve the service when shortfalls were identified.

A copy of the complaints policy and procedure was provided to each person and people felt able to raise concerns with staff or the registered manager.