13 June 2023
During an inspection looking at part of the service
About the service
Uxbridge Road is a supported living service for up to 9 people with learning disabilities and/or autism. At the time of the inspection, 6 people were living at the service. There were 2 buildings on the same site, accommodation for 2 people in 1 building and for up to 7 people in the other building.
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. At the time of the inspection, two people were receiving support with personal care. The other four people had support with other aspects of their care.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care and right culture.
Right Culture:
The provider had systems to evaluate the quality of the service being delivered, but these were not always effective as they had not identified gaps in cleaning schedules. However, the provider took immediate action to make improvements. People and those important to them were involved in planning their care, and overall, people and their relatives were satisfied with the care provided. Staff were supported through supervision and training and told us they felt supported by managers.
Right Support:
People were kept safe from avoidable harm and risks to people were assessed and monitored. Staff were aware of people’s strengths and promoted independence to help people achieve a meaningful everyday life. People were supported to have 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 supported people to make decisions and communicated with people in ways that met their needs. Staff also supported people to take part in activities and pursue their interests in their local area.
Right Care:
Staff understood people’s cultural needs and provided culturally appropriate care. Individual needs were addressed. For example, people who had specific ways of communicating, using sounds, certain words, Makaton (a form of sign language) and pictures could interact with staff and others involved in their care and support because staff had the necessary skills to understand them. People’s care plans reflected their range of needs, and this promoted their wellbeing and enjoyment of life.
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 requires improvement (published 21 April 2022). 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
This inspection was prompted by a review of the information we held about this service. We carried out an unannounced comprehensive inspection of this service on 22 March 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve person centred care and good governance.
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 Caring, Responsive and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. 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 Uxbridge Road on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.