28 June 2019
During a routine inspection
Turning point Worcester is a supported living service providing personal care for eleven people at the time of the inspection.
The service provides support for people living in four bungalows in Worcestershire. There is a bungalow in Worcestershire that accommodates two people separately, three people live together at Droitwich house. There were two further homes around Kidderminster that support three people in each.
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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service were small homes, similar to most domestic style properties. Each home followed the current best practice guidance and the most people living together were three people. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
People and their relatives were very positive about management team and the support provided.
People were supported by staff who knew how to keep them safe and protect them from avoidable harm. People were supported by regular staff who they knew well. People were supported to be as independent as possible with their medicines, and systems were in place for the safe management of medicines. Incidents and accidents were reported and investigated, and actions were taken to prevent recurrence. Staff followed infection control and prevention procedures.
People's needs were assessed, and support was delivered by staff who were well trained and knowledgeable about people's needs. 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 cared for by staff who were compassionate and kind. Relatives said staff were patient and caring towards them and their family member. People and their relatives felt involved and supported in decision making. People were encourage with their independence and achievable goals set to improve people’s well-being.
Staff were passionate about meeting people's individual needs and wishes and had an in-depth knowledge about each person. Relatives confirmed staff knew their family members well. People's concerns were listened to and action was taken in a timely way.
The management team were open, approachable and focussed on providing person centred care. Systems were in place to monitor the quality of care provided. The management team and staff communicated effectively and shared a passion for championing the rights for people they supported.
The service applied the principles and values Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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 support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 10 August 2017 and this is the first inspection.
Why we inspected
This was a first rating 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.