Background to this inspection
Updated
18 August 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
Two Inspectors, a member of the CQC medicines team and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service provides care and support to people living in six ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
Registered Manager
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. We gave the provider time to discuss our visit with people to ensure their best interests were considered.
Inspection activity started on 21 June 2022 and ended on 22 June 2022. We visited the office location on 21 June 2022.
What we did before inspection
Before the inspection we reviewed the intelligence, we held on the service. We also gathered the contact details for staff and people’s families to gain their feedback.
The provider was still in the process of completing the required Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report.
During the inspection
We communicated with 13 people who used the service and eight relatives about their experience of the care provided. We spoke with 17 members of staff including the registered manager, individual service managers, and support workers. We also liaised with five health professionals.
We reviewed a range of records. This included four people’s care records and eight medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
18 August 2022
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.
About the service
Turning Point- Staffordshire Learning Disabilities Supported Living is a supported living service. They were providing personal care to 39 people at the time of the inspection. The service supports adults with learning disabilities and autism.
People’s experience of using this service and what we found
Right Support
Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People’s needs were assessed, and care plans were developed with their input and their relatives. Risks to people’s safety were considered and clear guidance was put in place to support staff. People were supported by enough staff who had received training and were deemed competent to complete specific tasks. People were supported to have maximum choice and control over their lives. Staff supported people to maintain relationships that were important to them and engage in activities they enjoyed.
Right Care.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People’s health needs were well supported, and people’s medicine was safely managed. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs.
Staff had access to protective personal equipment (PPE) to limit the risk of infection. Staff knew how to ensure people had access to a healthy diet. People were protected from the risk of harm by staff who had been trained in recognising the signs of potential abuse.
Right culture
People, their relatives and staff were confident raising concerns. They were given the opportunity to comment on the organisation and told us they felt listened to. The provider could evidence that lessons were learnt when things went wrong. The provider also carried out regular audits and shared best practice amongst the staff team. Managers worked with outside agencies to support people to achieve their goals and maintained good oversight of the progress people made.
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 at the previous premises was good. (Published on 9 November 2019.)
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. This was a planned comprehensive inspection.
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.