Background to this inspection
Updated
28 August 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team comprised of one inspector and an assistant inspector.
Service and service type
Supported Living
This service provides care and support to people living in supported living’ settings, or with their family so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We sought feedback from the local authority and professionals who worked with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection
During the inspection
We visited three homes and spoke with eight tenants, one relative and 10 members of staff. We also spoke with the registered manager, the chief executive and one healthcare professional.
We reviewed a range of records, including medication administration records (MARs), the care records for four people, four staff personnel files, staff training records and information relating to the health and safety and management and oversight of the service.
The registered manager was also the nominated individual who is responsible for supervising the management of the service.
Following the inspection
Immediately after the inspection the registered manager provided us with further information to support our findings.
Updated
28 August 2019
About the service
Imagine Act And Succeed (IAS) is a local registered charity. They provide support services for adults whose primary need for care is due to their learning disability. Support is provided for people with varying complex needs. At the time of the inspection there were 93 people receiving support.
Supported living
IAS has 32 properties in the Wigan and Leigh area. IAS supports people who live in their own tenancies or with their families to develop skills to become independent within their own community. The services supports people with learning disabilities and autism.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People spoke highly about the care. they received. Comments included, “It’s good”, “I like the staff”, and “I like spending time with [name], I like to help her.” A family member spoken with was very happy with the care their relative received. They said, “The carers are very good, and they know if [name] is unhappy or worried”.
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 policies and systems in the service supported this practice.
People received their medications as prescribed. Staff confirmed they had completed medication training and received annual refresher training.
Staff received on-going essential training and specialist training relevant to their role.
People had access to a range of healthcare support, so their health and well-being was maintained. Suitable arrangements were in place to help ensure peoples nutritional needs were met.
Electronic and hard copy care records were seen. These covered all areas of care and support including peoples aims and goals, preferences and wishes. Where risks to people’s health and wellbeing had been identified, these were assessed and planned for.
The recruitment procedures were rigorous, ensuring that people were suitable to work with vulnerable adults.
IAS provided a good standard of accommodation for people living in shared accommodation.
The leadership and management team were praised by staff for the commitment and passion for care. Staff felt listen to and valued. There was evidence of on-going management and oversight of the service. Opportunities were provided for people to share their views and opinions about the service.
Policies and procedures were in place and were accessible for staff to refer to as required.
Systems were in place to for the recording and responding to complaints and concerns.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published on 16 November 2016).
Why we inspected
This was a planned inspection based on the previous rating,
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Imagine And Succeed on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.