Independent Supported Living and Disabilities Ltd Also known as ISLAD

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

We undertook an assessment of Independent Supported Living and Disabilities Ltd between 4 April 2024 to 12 July 2024. The assessment took place due to concerns received about the safety of people living at the service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.We assessed a small number of quality statements from safe, effective, caring, responsive and well led, and found areas of concern. The scores for these areas have been combined with scores based on key question ratings from the last inspection. We found 8 breaches in relation to safeguarding, risk management, recruitment, staffing, medicine, consent, person centred care, notification of incidents, and good governance. The provider failed to follow safe recruitment practices and ensure effective staff deployment. The provider failed to consistently identify people at risk of abuse and report and investigate incidents, accidents and allegations of abuse. People were deprived of their liberties without appropriate legal authorisations. The provider did not always have effective oversight of the safe management of medicines and appropriate risk management. Peoples’ needs were not always assessed prior to using the service, and peoples’ relatives were not always involved in their care planning. The provider did not use feedback to improve the service and failed to ensure statutory notifications were submitted to the CQC. The provider did not have systems in place to ensure oversight and quality of the service. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.

People's experience of this service

We found people’s experience of the service had to be improved, and feedback from relatives and professionals echoed this. We observed the interactions between people and staff, which was mostly positive. However, the feedback from people and relatives demonstrated people were not always safeguarded, respected, encouraged to make decisions, take calculated risks, and live their lives as they wished. The provider did not ensure they had oversight of the quality of service to empower, appreciate and upskill staff, so they could continue supporting people including better communication between each other. Our evidence gathered demonstrated the provider needed to improve the engagement between staff and people with their relatives, so that people had more opportunities to take part in activities they enjoyed and to receive care and support they needed.