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AFG Community Liverpool City South

Overall: Requires improvement read more about inspection ratings

19 Besford Road, Belle Vale, Liverpool, L25 2XT 07793 802948

Provided and run by:
Alternative Futures Group Limited

All Inspections

During an assessment under our new approach

Date of assessment 17 March to 9April 2025. AFG Community Liverpool City South is a supported living service providing personal care to people living in their own homes. The service supports people who have a learning disability and/or mental and physical health needs. The assessment was in response to information of concern received regarding the quality and safety of the service. At the time of our inspection the service supported 82 people. As part of the assessment, we visited people living in 7 different settings, reviewed their care records, spoke with staff, leaders and relatives and reviewed records in relation to people’s support.

We looked at a range of quality statements across the domains of safe, effective, and well-led. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted’.

The overall rating of this assessment was requires improvement. We found two breaches of the legal regulations in relation to the need for consent and good governance. The provider had not followed the Mental Capacity Act 2005 when decisions were made about people’s care and support. There was a lack of a robust understanding of the Mental Capacity Act (2005) and the Community Deprivation of Liberty Safeguards (c-DoLS). Governance systems in place failed to identify the concerns found during the assessment. The provider was open to feedback and had started to make the required improvements. We have asked the provider for an action plan in response to the concerns found.

Safer recruitment practices were in place and staff received an induction and shadowed experienced staff as part of their learning. Staff were kind and caring to people they supported and worked well together as a team and well trained. There were enough staff with the right skills, qualifications, and experience. People were kept safe from potential abuse. Potential risks to people were assessed and mitigated. The provider supported staff’s wellbeing. Staff felt able to give feedback and were treated equally.

10 June 2021

During a routine inspection

About the service

Liverpool City South Branch Office is a supported living service providing personal care to people living in their own homes. The service supports people who have a learning disability and/or mental and physical health needs. At the time of our inspection the service supported 72 people.

People lived in a variety of properties, which were in keeping with neighbouring properties and had access to local amenities and transport. Communal areas of people’s homes were shared but all had their own bedrooms.

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

People and relatives felt safe with the staff. One person said, “I depend on my carers and I feel very safe with them.” There were systems in place to safeguard people from the risk of abuse and staff took appropriate action when any such concerns arose. People had personalised risk assessments and staff knew the people they were supporting well, including how to support people safely and effectively. People received their medicines safely. However, we have made a recommendation about improving record keeping relating to medicines administration.

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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were supported to live as independently as possible and make their own choices. People’s care was person-centred and promoted their dignity. Staff had a positive attitude and supported people to lead inclusive and empowered lives.

People and relatives told us staff supported people to live as independently as possible and they treated them with dignity and respect. Comments included, “I love my carers. They are a great support and they know when I need my private space. They make me feel at ease” and “They do treat [Relative] with respect. They always want to know his opinion and involve him in decision making.”

People’s care plans were person-centred and detailed. People and their relatives were involved in the care planning and review process, ensuring people received the right support in line with their choices. Staff supported people to develop and maintain relationships with friends and loved ones, including going out into their local community to enjoy social activities and learn new skills.

People and relatives told us the service was well-led and staff communicated well with them. One relative said, “This organisation and their staff are terrific. I could not fault them. The staff are so kind and caring and they all get along so well together too.” There was a positive and caring culture amongst staff at the service. People and relatives spoke positively about how staff involved them. One relative commented, “We are part of the care meetings to discuss [Relative’s] needs and they are regularly reviewed. We always get our opinions heard.”

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 11/10/2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on our approach to inspecting newly registered services.

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.