Archived: Tower Hamlets LD Service

Updated 13 March 2019

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 is 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 was a routine inspection as 30 months had passed since we rated this service ‘good’. Prior to carrying out this inspection we reviewed information we held about the service, such as serious incidents that the provider is required to tell us about. We also contacted a local authority monitoring officer for their views of the service. We were not aware of any serious incidents or concerns about this service.

The inspection took place on 20 February 2019. We gave the service 48 hours’ notice of the inspection visit because the location provides a supported living service for adults who are often out during the day. We needed to be sure that they would be in.

The inspection was carried out by an adult social care inspector. We spoke with the registered manager, team leader and three support workers. We spoke with four people who used the service, and after the inspection made calls to two family members of people who used the service.

We looked at records of care, support and medicines management for three people and records of recruitment and supervision for four staff members. We looked at records of the management of the service including training records, rotas, audits and house meetings.

Updated 13 March 2019

We carried out this announced inspection on 20 February 2019. Tower Hamlets LD Service is a supported living service for adults with a learning disability. The service is based in a large house with communal kitchen and bathroom facilities. At the time of this inspection the service was providing personal care to three people.

At our last inspection on 26 July 2016 we rated the service ‘good’. At this inspection we found the evidence continued to support the rating of ‘good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. “The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.”

The service had a registered manager. 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 were supported to achieve their goals. This included improved access and involvement in the local community, varied activities and access to paid employment. People were involved in all aspects of the running of the service and told us they felt staff treated them with dignity and respect and were listened to.

People continued to be able to speak up about the service they received and what they would like to achieve in future and the service advocated for people’s future care needs. Information was provided to people in line with accessible information standards and people felt confident raising concerns with managers.

People continued to be safeguarded from abuse and risks to people were well managed. Medicines were safely managed and there were enough staff to meet people’s needs. Safer recruitment processes were operated with the involvement of people who used the service.

Support workers felt well supported by managers and received regular training and supervision to carry out their roles. People had the right support to maintain good health and eat well and healthily. The service supported people to meet their cultural needs and to communicate well with support staff.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Managers were more confident in ensuring standards were met and worked well with people who used the service and other agencies to improve the service and deliver better outcomes for people.