About the service MCD Care Limited Head Office provides a supported living service. The service supports autistic people and people with a learning disability with personal care in their own home, which they share with others. The provider also had an activities centre which people could visit during the day.
Not everyone who used the service received personal care. The Care Quality Commission (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
The service was not always well-led. The provider had not kept CQC informed of significant changes to the service and events that should be notified. However the provider had in place appropriate management systems; policies, processes and procedures; and quality checks and audits.
The service supported people safely. People’s relatives told us they were happy with arrangements to support people safely. We saw people were comfortable in the presence of staff and had good relationships with them.
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 expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
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.
Right support:
• The model of care and care setting maximised people’s choice, control and independence, taking account of their complex needs and associated risks.
Right care:
• People’s care was person-centred and promoted people’s dignity, privacy and human rights as far as possible.
Right culture:
• The values, attitudes and behaviours of leaders and care staff allowed people using services to lead more confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 20 July 2017 and this was the first inspection because the provider had told us in 2018 they were not carrying on a regulated activity.
Why we inspected
The inspection was prompted in part due to concerns received about the use of physical restraint by care staff. We decided to inspect and examine those specific risks.
The incident which prompted those concerns was subject to an investigation by other agencies. As a result, this inspection did not examine the circumstances of that incident.
The information CQC received about the incident indicated concerns about the management of physical restraint. This inspection examined those risks.
We found evidence that the provider needed to make improvements. Please see the well-led section of this report.
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.