22 November 2022
During a routine inspection
Birmingham Supported Living Service is a supported living service providing personal care. The service provides support to younger adults with learning disabilities and mental health. At the time of our inspection there were 3 people using the service.
Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, 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
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 and providers must have regard to it.
The service was not able to demonstrate how they were meeting some of underpinning principles of “Right Support, Right Care, Right Culture.
Right support
It was not always clear people had the right to choose a different care provider if they wanted. Use of systems and processes needed to be more robust to ensure people were not at the risk of abuse. Improvement was needed on the oversight of the service as we identified issues which were not picked up during the provider’s internal audit. People were supported to have medication safely.
People were involved in choosing staff to support them. Staff gave people choice, control and independence. One person who use the service had worked with staff and now they can access the community independently and with confidence.
Right care
People received person centred care and staff understood how to ensure people’s dignity and privacy was maintained. The management team ensured staff had regular supervisions and that their training was up to date which enabled staff to deliver the right care to people. The staff encouraged people to maintain their independence. The service provided information in accessible format which allowed people to understand the care they should expect from the service.
Right culture
We saw that staff were supported to work in a positive environment, this had a positive impact on people as they were supported by a consistent staff team. People and staff were encouraged to share their views on the quality of the service they received. Staff were trained to carry out their role. People’s needs were assessed before using the service.
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 application of the policies and systems in the service did not always support this practice and improvements were needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on the 27 May 2021,and this is the first inspection.
Why we inspected
This inspection was carried out as the service was not rated.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.