Midway Supported Services Warwickshire

Date of assessment: 06 May 2026 to 18 May 2026. Midway Care Midway Support Services Warwickshire is a supported living and homecare service; at the time of the inspection the service was only providing supported living. The service is registered to provide support to people with a learning disability and autistic people, physical disability, mental health needs, people with a sensory impairment and adults aged under 65. Not everyone who used the service received personal care. CQC only inspects where people receive a 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, 10 people were in receipt of regulated activity.

During the assessment, we spoke with people who received care from the service, their relatives and healthcare professionals linked to the service. We spoke with staff including the acting manager, locality managers, quality director, operations director, and nominated individual.

This inspection was carried out to enable us to follow up on the warning notice we issued at the last inspection.

The provider was previously in breach of the legal regulations in relation to safe care and treatment and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.

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 provider was meeting the principles of right support, right care, right culture.

People were safeguarded from the risk of abuse, with potential risks effectively managed. The provider had robust safeguarding and whistleblowing procedures in place, and staff demonstrated a clear understanding of these processes.

Comprehensive recruitment checks were completed before staff commenced employment. There were sufficient numbers of staff to support people safely and meet their individual needs.

Risks to individuals were appropriately assessed to ensure care was delivered safely. Medicines were administered safely and in line with prescribed guidance.

Staff received training relevant to people’s specific care needs and were supported through regular supervision from the management team. Staff reported that the service was well managed and that they felt well supported by the management team.

The management team and staff worked collaboratively with health and social care professionals to ensure the delivery of an effective service.

We spoke with people, their relatives, and professionals to gather feedback on the care provided, and observed interactions where support was being delivered. Feedback was consistently positive, with people and their relative’s expressing satisfaction with staff and the support received. One relative told us, “[Name of person] has a good quality of life they are very happy”

People knew how to provide feedback and felt confident that it would be taken seriously and acted upon. Relatives told us staff had a strong understanding of their loved ones’ needs, including communication, and demonstrated good knowledge of how to provide appropriate care. They also shared examples of positive outcomes and effective collaboration between staff and external professionals to ensure individuals received the support they needed. One relative told us, “They remember [name of person] birthday and take lots of photos of the things they have done”.

People and their relatives confirmed there were enough staff to meet needs safely, and that individuals were supported to maintain regular contact with their families.

People told us they felt safe and described staff as kind and supportive. They valued having dedicated key workers and enjoyed being involved in planning their care and participating in activities. People were supported to make choices about their meals, take part in cooking, and maintain a healthy, balanced diet. A relative told us, “The staff try to understand [name of person] cultural background, they supported [name of person] to fast during Ramadam’

Access to healthcare professionals was available when needed, and people were involved in decisions about their care and support. Observations showed staff encouraged independence, listened to people, and respected their views, choices, and decisions.

Date of assessment: 05 June 2025 to 26 June 2025. Midway Care Midway Support Services is a supported living and homecare service; at the time of the inspection the service was only providing supported living. The service is registered to provide support to people with a learning disability and autistic people, physical disability, mental health needs, people with a sensory impairment and adults aged under 65. Not everyone who used the service received personal care. CQC only inspects where people receive a 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.
During the assessment we spoke with people who received care from the service, their relatives and healthcare professionals linked to the service. We spoke with staff including the acting manager, locality managers, quality director, operations director, and nominated individual.

This was a responsive inspection of 3 key questions triggered by our ongoing monitoring of the service.

We have assessed the service against 'Right support, right care, right culture' guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At the last inspection in October 2020, we rated the service Requires Improvement with 2 breaches of regulation in relation to safe care and treatment and governance. Whilst some improvements had been made, the provider remained in breach of these regulations.

We found gaps in staff members' knowledge around the Mental Capacity Act (MCA). The oversight, administration and records of medicines required improving. Where people received as and when medicines (PRN) medicines there were protocols in place; however, these lacked effective guidance for staff. The provider's oversight of behaviour incidents required improvements.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

In relation to safe care and treatment, we have requested the provider send us an action plan.

There had been changes to the management team since the last inspection. The management team including locality managers, quality director, operations director, and nominated individual were all receptive to our feedback throughout the assessment. They began making some changes, during and after the inspection and were committed to continuing to make improvements within the service.

People's experience of this service
We spoke with people, relatives and professionals about the care provided. We made observations where people were supported. People and their relatives told us they were happy with staff members and the support they received. One relative told us, "I am happy with [person's]care, it is an excellent place. The staff are really nice."
People knew how to give feedback and were confident the service took feedback seriously and acted on it.

Relatives told us their loved one's needs, including their communication needs, were understood well by staff. Relatives felt staff had good knowledge of how to care for people. We were told how some people had experienced good experiences from the care provided and were given examples of how staff had collaborated well with professionals to ensure people received the care and support they needed. People and relatives said there were sufficient numbers of staff to support people. People and relatives told us staff supported people to have regular contact with their families.