14 December 2021
During a routine inspection
Individual Care Service provides personal care to people in their own homes and 24-hour shared supported living services. Care and support are provided to people living with a learning disability and other support needs including autism and health conditions. At the time of our inspection visit, the service was providing personal care to 42 people.
People’s experience of using this service and what we found
At the last inspection governance systems and management oversight of the service was inadequate. At this inspection the provider had made significant progress in improving their systems and processes to maintain oversight of the service and was no longer in breach of regulation. However, the system to identify important appointments for people to attend was not as effective as it should be, this meant important health appointments had been missed.
At the last inspection people had not always received care that was safe. Risks were not always identified, and support plans did not contain enough information for staff. At this inspection improvement had been made. People had care plans and risk assessments that had been reviewed and now contained the information needed for staff to provide safe care. Systems for staff to record and report safeguarding concerns had been improved.
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 outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.
People’s access to important information was being improved by the provider. Changes were being made to make information more accessible for people to understand and there was a fresh emphasis by the provider on ensuring staff had the training and resources to understand the needs of people with learning disabilities.
Their was an emphasis on promoting people’s independence and people told us that they felt well supported and cared for by staff.
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 inadequate (published 15 October 2021) and there were multiple breaches of regulation. 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 improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 15 October 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last 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.