Background to this inspection
Updated
5 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 carried out the inspection.
Service and service type
This service provides care and support to people living in two ‘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.
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. 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 9 June 2022 and ended on 20 June 2022. We visited the office location on 9 and 17 June 2022.
What we did before inspection
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 reviewed information we held about the service including information about important events which the service is required to tell us about by law. We requested feedback from other stakeholders. These included the local authority commissioning team and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager and support workers. We reviewed a range of records. This included three people’s care records and two people’s medication records. We looked at two 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
5 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
Godfrey Barnes Care SL Limited is a supported living service providing personal care. The service provides support to people with a learning disability and autistic people. At the time of our inspection, seven people were using the service.
People’s experience of using this service and what we found
Right Support
¿ Staff had not always been recruited safely to ensure they were suitable to support people using the service. The registered manager took immediate action to address this.
¿ People were supported to make decisions for themselves. Staff respected people’s choices and ensured they had information they needed.
¿ People were supported by staff to pursue their individual hobbies and interests.
¿ Staff supported people to maintain their health and wellbeing by accessing healthcare services and activities which positively supported their physical and mental health.
Right Care
¿ Staff treated people well and promoted their dignity and independence.
¿ People’s communication needs were identified, people’s care plan’s provided detailed information on their individual communication systems.
¿ Medicines were safely managed by trained staff who administered people’s medicines in line with the prescriber’s instructions.
¿ The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right Culture
¿ People and those important to them, including advocates, were involved in planning their care.
¿ Staff knew and understood people well, staff were well matched to their support workers.
¿ People were supported to identify individual goals and care plans were in place for staff to follow.
¿ People and their relatives had regular opportunities to provide feedback on the service. The registered manager took appropriate action to resolve any concerns promptly.
We have made a recommendation about the provider’s oversight of recruitment systems.
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 first registered with us on 18 February 2021 and this is their first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
Enforcement and Recommendations
We have identified breaches in relation to fit and proper persons employed, and we have made a recommendation about the provider’s oversight of recruitment systems.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.