9 January 2023
During an inspection looking at part of the service
Real life options- Yorkshire provide support to people with learning disabilities living in 7 supported living settings, so that they can live in their own home as independently as possible. The service also provides domiciliary care to people living in their own houses and flats. At the time of our inspection, 37 people were receiving a regulated activity. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People's experience of using the 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.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
People were supported in having choice and control over aspects of their lives, for example people living in supported living settings had personalised their bedrooms. Risks to people were recognised, assessed and managed safely. Systems were in place to protect people from abuse and improper treatment. People were encouraged to be as independent as possible.
Right Care
There was not always enough staff to support people. Staff were knowledgeable about the people they supported and had established good rapport however, the service relied on agency staff who did not always know the needs of people.
Right culture
Recent changes in management had improved the service. People were supported to regularly identify, or review, on-going individual aspirations and life goals. Management supported staff in improving practice.
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 16 August 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and recommendations
We have identified breaches in relation to staffing and good governance at this inspection.
This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Real life options- Yorkshire on our website at www.cqc.org.uk.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.