We carried out a review of the data available to us about BCP Supported Living Service on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about BCP Supported Living Service, you can give feedback on this service.
BCP Supported Living Service is a domiciliary care and supported living provider delivering person care and support to people in their own houses and flats. At the time of our inspection there were 29 people receiving personal care and support.
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.
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.
People’s experience of using this service and what we found
Right Culture
Improvements had been made to the governance systems and oversight of the service. The registered manager and provider had implemented various audits and checks to ensure the service was monitored, safe and continually improved. The registered manager and staff understood their role and responsibilities.
The provider sought feedback on the service it provided, this information and outcomes were used to drive improvement. People felt involved in the service and this supported them to have opportunities in their local community and services. Leadership was visible and the feedback was positive about the management of the service. Staff felt appreciated in their role and were proud to work at the service. The service had made good links with the local and wider community.
Right Support
There were enough staff to meet the needs of the service. Recruitment processes were in place to ensure staff had the necessary checks before starting work with the service. There was a significant and sustained improvement with staff training. The service offered a wide range of subjects, ensuring staff had the necessary information they needed to support people. Competency assessments meant staff applied their training safely. People were protected from avoidable harm by a staff team who knew how to raise safeguarding concerns, both within the service and outside. Staff told us they were confident their concerns would be acted upon by the registered manager.
Risks to people had been identified, assessed and actions taken to reduce them, this included environmental risks. Staff knew people well and risk assessments covered all aspects of their daily care, support and outside of their home. 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. People were supported to access environmental improvements and the registered manager and provider were in continual communication with the housing provider.
Right Care
People, relatives, and staff told us people were safe in the care and support provided by BCP Supported Living Service. Staff knew how to recognise and report concerns, they were confident they would be followed up by the registered manager. Medicines were managed safely, and infection, prevention and control procedures were robust. Recruitment procedures were in place and the necessary checks on staff had been made.
People had access to healthcare services as required. People were supported and encouraged to live full lives and staff ensured their rights were fully respected. Consent was obtained from people and their loved ones involved in supporting them, to make decisions about their lives. Accidents and incidents were recorded, analysed for themes and trends. People and relatives were complimentary about staff support and we observed many kind interactions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 26 May 2022).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider had made the required improvements and was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 3 May 2022. A breach of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At our last inspection we found a breach in relation to the governance systems within the service.
We undertook this focused inspection to check the service had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for BCP Supported Living Service on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
About the service
BCP Supported Living Service is a domiciliary and supported living provider. They provider personal care to people living in their own homes. The service was supporting 30 people at the time of inspection.
People’s experience of using this service and what we found
The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. Improvements were needed to the governance systems within the service. The systems for monitoring and checking the service operates in a safe way were not effective. The service did not actively seek feedback in order to drive improvements within the service. There was no formal analysis of accidents and incidents within the service to ensure learning from events.
The service could not be sure it was supporting people to be protected from avoidable infections as not all staff had received infection control training, including how to correctly put on and take of personal protective equipment (PPE). Staff did not always receive training to support them in their role. Staff knew people well, but essential training for health conditions such as epilepsy and diabetes had not been delivered and no alternatives to face to face learning were sought. We have made a recommendation about the management of staff training.
Right Support
People were supported by staff to live the life they wanted which was directed by them. People accessed healthcare and specialist support when needed. Staff supported people to continue their interests and hobbies following the easing of restrictions due to the COVID-19 pandemic.
Right Care
Staff understood how to protect people from harm and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise the signs of abuse and who to report to. Staff promoted equality and diversity in their support for people and understood the importance of independence. Cultural and spiritual needs were supported, and people spent their time the way they wished. Staff knew people well and we observed many kind and caring interactions between staff and people.
Right Culture
People's needs, and rights were put at the centre of the service. Staff were passionate about people and their place in the world. They felt appreciated and were complimentary about their colleagues and the management of the service. People and their loved ones were involved in planning their care. Risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
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 the service under the previous provider was outstanding, published on 6 February 2019.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right Support, Right Care, Right Culture.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to the governance and management oversight of the service at this inspection. Please see the action we have told the provider to take at the end of this report.
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.