Midway Supported Services Warwickshire

During the assessment, we spoke with people who received care from the service, their relatives and healthcare professionals linked to the service. We spoke with staff including the acting manager, locality managers, quality director, operations director, and nominated individual.

This inspection was carried out to enable us to follow up on the warning notice we issued at the last inspection.

The provider was previously in breach of the legal regulations in relation to safe care and treatment and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.

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. The provider was meeting the principles of right support, right care, right culture.

People were safeguarded from the risk of abuse, with potential risks effectively managed. The provider had robust safeguarding and whistleblowing procedures in place, and staff demonstrated a clear understanding of these processes.

Comprehensive recruitment checks were completed before staff commenced employment. There were sufficient numbers of staff to support people safely and meet their individual needs.

Risks to individuals were appropriately assessed to ensure care was delivered safely. Medicines were administered safely and in line with prescribed guidance.

Staff received training relevant to people’s specific care needs and were supported through regular supervision from the management team. Staff reported that the service was well managed and that they felt well supported by the management team.

The management team and staff worked collaboratively with health and social care professionals to ensure the delivery of an effective service.

We spoke with people, their relatives, and professionals to gather feedback on the care provided, and observed interactions where support was being delivered. Feedback was consistently positive, with people and their relative’s expressing satisfaction with staff and the support received. One relative told us, “[Name of person] has a good quality of life they are very happy”

People knew how to provide feedback and felt confident that it would be taken seriously and acted upon. Relatives told us staff had a strong understanding of their loved ones’ needs, including communication, and demonstrated good knowledge of how to provide appropriate care. They also shared examples of positive outcomes and effective collaboration between staff and external professionals to ensure individuals received the support they needed. One relative told us, “They remember [name of person] birthday and take lots of photos of the things they have done”.

People and their relatives confirmed there were enough staff to meet needs safely, and that individuals were supported to maintain regular contact with their families.

People told us they felt safe and described staff as kind and supportive. They valued having dedicated key workers and enjoyed being involved in planning their care and participating in activities. People were supported to make choices about their meals, take part in cooking, and maintain a healthy, balanced diet. A relative told us, “The staff try to understand [name of person] cultural background, they supported [name of person] to fast during Ramadam’

Access to healthcare professionals was available when needed, and people were involved in decisions about their care and support. Observations showed staff encouraged independence, listened to people, and respected their views, choices, and decisions.