Independent Supported Living and Disabilities Ltd

The provider was previously in breach of multiple regulations. Improvements were found at this assessment and the provider was no longer in breach of regulations around safeguarding people, providing safe and person-centred care, need for consent, staffing, governance and notifying CQC about adverse events in the service. However, further improvements were needed around how people’s mental capacity assessments and best interest decisions made on their behalf were recorded.

We 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.

People were supported to stay safe and well by staff who knew their needs, including what made them upset or anxious, well. Staff received training, support and supervision required for them to be able to provide effective and safe care to people. People received support to do what they liked, to go out and to take care of their home, their health and day-to-day needs. Staff knew how to protect people from the risk of abuse and neglect. Lessons learnt and safety were regularly discussed by the staff team and the management and monitored. People were treated with respect, kindness and staff could clearly described their strengths and skills. People were supported to be as independent as possible, to have equal and timely access to healthcare and social care services when needed. The management and provider ensured good oversight of the quality and safety of the service and monitored improvement actions to ensure these were completed. A range of significant improvements had been made to the service since our last assessment. For example, around how people’s care and support were discussed with them and their representatives and how they were supported to ensure their safety and good quality of life. The governance of the service and staff team culture had improved. The provider took effective actions to deliver support in line with the national best practice and evidence-based guidance on supporting people with a learning disability and/or autistic people in the community. Further improvement work was required in relation to ensuring people’s assessments of mental capacity and best interest decisions around their care were appropriately recorded where they may lack capacity to make specific decisions. This area for improvement had been recognised by the provider prior to the assessment and they started addressing this with partners. However, not all actions were completed in line with the provider’s policy and the Mental Capacity Act 2005 Code of Practice at the time of this assessment.