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Inspection Summary

Overall summary & rating


Updated 17 June 2021

About the service

Southways Group Ltd provides care and support to people living in specialist housing. At the time of the inspection, people lived in an adapted household accommodation in a shared site or building. The accommodation is rented and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate the premises used for this type of housing; this inspection looked at people's personal care and support service. At the time of the inspection five people were being supported with personal care.

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

The previous inspection in December 2019 found that standards relating to the quality and safety of the service needed to be improved. The provider had not always recorded areas of risk; safeguarding concerns were not raised with the appropriate bodies; the way people's medicines were managed needed to improve and staff had not received all the training they required, especially in relation to mental capacity and infection control. Care plans did not contain all relevant information about people’s needs and had not been reviewed to ensure their care and support was relevant and up to date. Accidents and incidents monitoring, governance systems and quality audits were not robust enough to ensure the management of the service was effective.

Improvements had been made throughout the service.

People who were able to talk with us over the telephone told us they were safe using the service. Family members told us their relatives were being cared for by staff who knew them well. Health and social care professionals thought the service had improved and people had better outcomes.

People were cared for by staff who were reliable and consistent. Rotas were organised in a way which meant people saw the same team of staff so that relationships were developed and maintained.

Staff had a good understanding of safeguarding processes to keep people safe and how to report any concerns. Staff understood and were aware of their responsibilities to raise concerns and report all incidents. People were supported with their medicines when they needed them. We were assured the service met good infection prevention and control guidelines and personal protective equipment (PPE) was readily available. There were enough staff to provide care and support to people and staff had been suitably recruited to their role.

Staff were aware of people’s needs and supported them to manage risks to their safety whilst supporting them to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

People’s needs had been assessed and reviewed. Care plans contained information about people’s needs and ways in which they should be met. This included their routines, preferences, and more recently, gathering information about their protected characteristics, culture and lifestyle.

Staff confirmed they had received training which gave them the knowledge and skills to carry out their roles. Spot checks were carried out to monitor staff practice and ensure they were working safely. People had good support with their meals. People were supported to access healthcare where needed. Staff worked very well with other professionals to ensure people’s healthcare needs were met

Staff treated people with dignity, respect, kindness and promoted their independence. Staff recorded information about people in a respectful way. Obtaining people’s views as to their end of life wishes was ongoing and information was being captured at their pace. The manager was seeking support and training for staff in order to explore with people their wishes and choices.

Systems had improved to assess, manage and monitor the oversight and quality of the service. Complaints were investigated and responded to. Where things had gon

Inspection areas



Updated 17 June 2021

The service was safe.

Details are in our safe findings below.



Updated 17 June 2021

The service was effective.

Details are in our effective findings below.



Updated 17 June 2021

The service was caring.

Details are in our caring findings below.



Updated 17 June 2021

The service was responsive.

Details are in our responsive findings below.



Updated 17 June 2021

The service was well-led.

Details are in our well-Led findings below.