Background to this inspection
Updated
9 July 2021
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 Care Act 2014.
Inspection team
Two inspectors carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses, flats and supported living schemes so 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.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 27 May 2021 and ended on 07 June 2021. We visited the office location on 27 May 2021.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We met with one person who used the service. We spoke with one relative via telephone and another via email about their experience of the care provided. We spoke with a variety of staff including the registered manager, quality manager, eight support workers. We reviewed two people’s care plans, three staff files and a variety of documents in relation to the quality of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and policies and procedures.
Updated
9 July 2021
About the service
Housing & Support Solutions - Bridlington Region is a domiciliary care and supported living service providing personal care to people in their own homes. Three people were receiving support with personal care across three services. The service supports people living with learning disabilities or autistic spectrum disorder, mental health, older people, and people with physical disability or sensory impairment
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.
People’s experience of using this service and what we found
Staff received training and supervision to ensure they had the skills and support for their role. However, staff were not receiving regular appraisals and the provider had no systems in place to record staff’s additional training and qualifications. Satisfaction surveys were carried out; however, these were for all the providers locations. Staff did not always received feedback from these and there was no service level results and action plan.
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 gained consent prior to providing people with care. Mental capacity assessment and best interest decisions were carried out.
Staff had developed positive relationships with people which led to people feeling safe and happy.
The culture of the team was positive, and staff felt confident and supported in their role. The service had a clear set of values which staff understood and promoted.
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.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were supported to maintain their independence and staff worked hard to improve and maintain people’s quality of life.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The rating at the last inspection and update
The last rating for the service was requires improvement (published 19 March 2020) 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
Why we inspected
We carried out an announced/ comprehensive inspection of this service on 26 September, 29 September and 15 November 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the governance systems.
We undertook this focused inspection to check they 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 Effective and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Housing and Support Solutions – Bridlington Region on our website at www.cqc.org.uk.
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.