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Autism Plus - York and North Yorkshire Requires improvement

The provider of this service has requested a review of one or more of the ratings.


Inspection carried out on 16 March 2020

During a routine inspection

About the service

Autism Plus – York and North Yorkshire is a supported living service for people with autism, learning disabilities, mental health needs, physical disability or sensory impairment. This service was supporting nine people at the time of this inspection.

People lived in four separate accommodations. Three of those were houses with up to a maximum of four people sharing and one person lived alone. Staff had their own facilities to accommodate any sleepover arrangements where this was required.

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.

Services for people with learning disabilities and or autism are supported

The service environment has been designed taking into account best practice guidance and the principles and values underpinning Registering the Right Support. The living accommodations supported people to live as ordinary lives as possible. The service location encouraged integrating with the local community and people were supported to access transport to facilities and events outside the service.

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

The service was not consistently well led. The provider had failed to oversee and monitor the service and three breaches of regulations were identified. Systems to monitor the quality and safety of the service and support continuous and timely improvement were not always effective. Management were positively working to improve the service, but this had been slow to progress and required further work to meet the regulations.

The provider had not ensured staff understood the principles of the Mental Capacity Act 2005 (MCA) and their responsibilities. Where people lacked capacity to make decision for themselves, records were not in place to detail how decisions had been made in people’s best interests. We have made a recommendation in relation to the MCA.

Risks to people had not always been identified and assessed to keep them safe. Care records did not reflect the delivery of person-centred care. Care plans had not always been regularly reviewed and people's input sought. Guidance was not always in place for staff to adopt a consistent and safe approach. The content of care records were under review with people and their relatives input to reflect a more person-centred approach and improve the format to meet people's communication needs.

The provider didn’t consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use 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 people did not fully reflect the principles and values of Registering the Right Support for the following reasons; people’s care planning was not always individualised to their needs, some risks to their health and well-being had not been identified and managed appropriately. People had only recently become more involved in planning their own care and support needs and this was work in progress.

People were encouraged to maintain relationships with their relatives and friends. Staff supported people to build independent living skills and attend services and events within the local and wider community. A new system had been introduced to support people to work toward goals and aspirations.

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.

Staff spoke positively about the service and felt supported by the registered manager. Communications had improved to include regular supervisions, annual appraisals, training, detailed handover and team