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Guardian Supported Living Ltd Requires improvement Also known as St Georges Community Hub

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 January 2020

About the service

Guardian Supported Living Ltd is a supported living service providing personal care to people with learning disabilities, autistic spectrum disorders, physical disabilities, mental health difficulties and sensory impairments. At the time of the inspection one person was receiving personal care.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where people don’t receive personal care we also consider any wider social care provided.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives.

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

The provider had failed to ensure risk assessments were put in place following allegations of abuse and the providers audit systems had not identified the risk assessment was missing. Care plan reviews did not identify where information was conflicting. Staff’s health conditions were not discussed as part of the recruitment process. The previous CQC inspection ratings were not displayed in line with legal requirements.

There was one person living at the service on the day of the inspection who received personal care. Because of this and the fact we want to protect this person’s rights to a private life, the report will provide an overview rather than specific examples.

The person felt safe and staff had good knowledge of safeguarding processes. There were enough staff to support the person safely. The person received their medicines as prescribed.

The person was supported to have maximum choice and control of their life 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.

The person was treated with kindness and compassion. They were encouraged to express their views and make decisions. Their privacy and dignity was maintained.

The person was involved in decisions about their care. Their communication needs were met. They were supported to follow interests, build and develop social skills and take part in activities.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure the person using the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for the person using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. The person’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

Rating at last inspection

The last rating for this service was requires improvement (published 4 January 2019)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection areas

Safe

Requires improvement

Updated 28 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 28 January 2020

The service was not always well-led.

Details are in our well-led findings below.