8 December 2022
During a routine inspection
About the service
Shifa Lodge is registered to provide personal care. The service provides personal care to one person living in their own home and one person living in a supported living setting. The provider has multiple supported living shared houses and flats, with varying levels of staffing depending on the needs of people living in the setting.
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 they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support:
The model of care in place did not consistently maximise people’s choice, control and independence. We are looking into the model of care as it was not clear that the supported living setting offered people the rights and protections it should have. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. The provider had not ensured consent had been sought appropriately and had not identified that people were restricted by their support. This meant they had not sought the appropriate authorisations to ensure the restrictions were safe and legal.
Right Care:
People received care that was personalised from staff who knew them well. However, the provider had failed to capture people’s preferences or plan their care in line with best practice guidance. Staff had not received the training they needed to ensure autistic people were supported in line with their preferences. People were supported to access healthcare services, but the provider was not following best practice guidance for supporting autistic people and people with learning disabilities with their healthcare needs. Although staff spoke about the people they supported with kindness and compassion, the language in the records did not always support this.
Right Culture:
The management team had created a culture where staff felt well supported. Staff and management knew people well and were open to improving the quality of support they provided to people. There were systems in place to involve people, relatives, staff and the community in the development of the provider’s services.
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 14 February 2014 and this is the first inspection. The service did not deliver any Personal Care until recently.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We had been informed that the service was not delivering any regulated activities. In October 2022 they informed us they were delivering personal care to 2 people.
We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well Led sections of this full report.
Enforcement and Recommendations
We have identified breaches in relation to safe care and treatment, safeguarding adults, consent, person centred care, staff training and good governance. We have also made recommendations about ensuring people’s healthcare needs and diverse characteristics are met in line with best practice guidance.
We will require an action plan in relation to the breaches of safe care and treatment, safeguarding adults, consent, person centred care and staff training. We issued a warning notice requiring the provider to be compliant with regards to governance by a fixed date.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.