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.
Bradford Supported Living is a domiciliary providing care and support to people living in five ‘supported living’ houses and bungalows, so that they 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 our inspection there were thirteen people using the service. The service can support up to 15 people.
A member of staff was available in all of the houses on a 24-hour basis. Additional support was provided on an individual basis in line with the person’s contractual agreement.
People’s experience of using this service and what we found
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.
Based on our review of key questions safe and well led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
¿ Staff recruitment and induction training processes promoted safety.
¿ Risk assessments demonstrated people were supported to make choices.
¿ Staff supported people with their medicines in a way that met their needs and achieved the best possible health outcome.
¿ Peoples bedrooms were furnished and personalised to reflect their individuality.
¿ Person centred risk assessments were in place and up to date.
¿ The service had enough staff to meet people’s needs and keep them safe.
¿ People received kind and compassionate care from staff who knew them well.
¿ Audits completed at the service by the management team had identified areas for improvement and actions taken. For example, systems had been put in place to address staffing issues so that people received consistency of care.
¿ Relatives of people using the service were not always confident in the management of the service.
¿ Relatives of people using the service were concerned about the staffing situation and use of agency staff.
¿ The management team had communicated well with people, their relatives and staff about planned changes to the service.
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 Good (Published 17 April 2018)
Why we inspected
The inspection was prompted in part due to concerns received about staffing. A decision was made for us to inspect and examine those risks.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bradford Supported Living on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.