Archived: Community Integrated Care, Leeds Regional Office

Updated 27 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was carried out to check that improvements had been made following our comprehensive inspection on 1 June 2016, and to provide a new rating for the service.

This inspection took place on 1, 10 and 11 August 2017 and was announced. This was because we needed to make sure someone would be at the office on the first day. We visited three of the supported living homes on 10 and 11 August 2017. The inspection team was made up of one adult social care inspector. A specialist advisor with experience of mental health assisted us on the first day.

Before the inspection we reviewed the information we held about the service. This included notifications regarding safeguarding, accidents and changes which the provider had informed us about. A notification is information about important events which the service is required to send us by law. We also looked at previous inspection reports. We reviewed the Provider Information Record (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During this inspection we visited the office to discuss governance and meet with all the service leaders. We visited three homes and looked around the premises and spent time with people. We looked at records which related to people’s individual care. We looked at four people’s care planning documentation and other records associated with running the service. This included, training records, the staff rota, audits, medicine records and records of meetings.

We spoke with five people who used the service and spent time observing how people led their lives during the day and the support that they were given by staff. During the course of the inspection we spoke with the registered manager, seven service leaders, five senior care staff and two support workers.

Updated 27 October 2017

Community Integrated Care, Leeds Regional Office provides a supported living service in 12 small homes, varying from two to five occupants, around Leeds. The service supports people with a learning disability, some of whom have additional disabilities. Each home is situated in a residential area, within walking distance of shops and local amenities and close to a main transport system into the city centre.

This comprehensive inspection took place on 1, 10 and 11 August 2017 and was announced. At the last inspection in June 2016 the service was found to require improvement to be safe, effective, responsive and well-led. At this inspection we found the required improvements had been made.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People received good care and support and they were encouraged to lead lives in line with their own preferences and choices. The emphasis was on supporting people to be as independent as possible. People were involved in making decisions about their care and how the service was run.

Care and support plans contained clear and up to date information about how people wanted their needs met. There were good opportunities for people to discuss any concerns or ideas that they had.

People were supported in having their day to day health needs met. Health services such as dentists, doctors and opticians were used as required and there were close links with other services such as the Leeds Community Learning Disability Team.

Staff were knowledgeable about the needs of each person and how they preferred to live their lives. Staff received the training they needed and were supported through regular supervision meetings with the registered manager. There were safe recruitment practices in place for new staff and there were a sufficient number of staff on duty to meet people’s needs.

There were good systems in place to keep people safe. Staff were confident about their responsibilities in relation to safeguarding and also knew who they could contact regarding any concerns they had about the service. There was a positive approach to risk taking so that people could be as independent as possible. Risks in peoples’ day to day lives had been identified and measures put in place to keep people safe. The focus was on how each person benefited from the activity undertaken.

Supported living homes were suitable for the people who used the service. Checks and tests were carried out regularly to make sure the environment was safe.

The legislative requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) were followed.

Staff told us that the service was well managed and there was good support. The registered manager promoted a culture of respect, involvement and independence. There were good systems in place to make sure that the quality of care was maintained. Areas that required improvement were identified and necessary action taken.