8 December 2022
During an inspection looking at part of the service
Centre 404 provides support to people living in their own homes and in supported living settings. The supported living houses are designed to support different numbers of people depending on the size of each house and other people are supported in their own family home or in their individual accommodation. The provider also supports people with learning disabilities and autistic spectrum conditions.
People’s experience of using this service and what we found
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.
Based on our review of the key questions of Safe the service was able to demonstrate how they were meeting some of the underpinning principles of right culture. The service addressed potential risks to people being kept safe from potential avoidable harm by those caring for them.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 16 February 2018).
Why we inspected
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We undertook this targeted inspection as a response to an specific concern that had been raised about verification of background checks for temporary agency care staff. The provider has a children’s service registered with Ofsted (The national regulator for children’s day and residential care services) who had found one agency worker had not had valid disclosure and barring service check (DBS). We undertook this targeted inspection to check if the adult service registered with Care Quality Commission (CQC) was maintaining safe employment practices for staff, most specifically for temporary staff working with people.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.
We also looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has not changed following this targeted inspection and remains Good.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Centre 404 on our website at www.cqc.org.uk.
Follow-up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.