27 June 2023
During an inspection looking at part of the service
Naswell Care Ltd is a supported living service providing personal care to people who may live in single or shared occupancy households with their own tenancy agreements. At the time of the inspection, the service was supporting 3 people with personal care living in single households of different sizes.
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.
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.
People’s experience of using this service and what we found
Right Support:
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. Effective systems were in place to involve people in decisions about their care or lawfully in their best interest.
People’s views about their wishes and goals were supported. Staff promoted people's choice and independence and ensured they had access to a range of individualised activities.
People’s physical and emotional needs had been assessed. Comprehensive care and medicines plans were in place which guided staff on how to support people and included strategies needed to reduce their risks which were known by staff.
Further time was needed for the provider’s systems to be developed and embedded to monitor people’s needs, incidents, records, and governance of the service. More information was needed around the management of people’s routine health assessments and their health needs as people grow older.
Right Care:
People were supported by a regular and caring staff team who knew them well. The quality of people’s life had improved.
Staff and managers were committed to providing person-centred support which focused on people’s individual needs and wishes.
Staff had been safely recruited and had received the training and support they needed to support people. Plans were in place to enhance staff development.
People’s communication needs had been assessed and were being supported.
Right Culture:
The culture of service supported people to reach their potential and achieve their goals. People were empowered to live a life of their choice. The manager and provider valued feedback from people, relatives, staff and other stakeholders to help them drive improvement and improve the quality of people’s lives.
Managers and staff were aware of current care practices when supporting people with a learning disability and autism. The manager had recognised the provider’s policies needed to be reviewed to reflect their practices.
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 inadequate (published 9 December 2022).and there were breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. We met with the provider regularly to discuss their progress in completing their actions.
Why we inspected
This service has been in Special Measures since 9 December 2022. 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 Safe, Effective and Well-led which contain those requirements. This inspection was carried out to follow up on action we told the provider to take at the last inspection.
During this inspection the provider demonstrated that improvements have been made and the provider was no longer in breach of regulations. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
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 changed from Inadequate to Requires improvement. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
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