Background to this inspection
Updated
12 April 2022
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
This inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in two ‘supported living’ settings, 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 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 two hours’ notice of the inspection. This was because the service is small, and people are often out. We wanted to be sure there would be people available to speak with us.
Inspection activity started on 28 February 2022 and ended on 5 March 2022. We visited the office location on 3 March 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spent time with two people who used the service and spoke with three relatives about their experience of the care provided. We spoke with six members of staff including the registered manager and care staff. We reviewed a range of records. This included four people’s care records and their medicine records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who are connected with the service.
Updated
12 April 2022
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.
About the service
Bright Opportunities Enabling Service is a supported living service providing personal care to four people at the time of this inspection. The service supports people in their own homes. There is also a day centre section to the business. CQC do not regulate day centres so this was not looked at as part of this inspection.
People’s experience of using this service and what we found
Right Support
There were times when a person had restrictions on their liberty without the appropriate lawful authorisation. The service did not always support people to have maximum possible choice, control and independence. People did not always have control over their own lives. There was not always a process of best interest decision making and staff did not always know what decisions people could make for themselves.
Right Care
People received compassionate care from staff who were kind. However, people’s dignity was not always promoted when people displayed behaviours that were normal for them. There were always enough staff to make sure people received the support they required. People took part in activities they enjoyed. Staff knew people well and were committed to ensuring people achieved good outcomes from their support.
Right Culture
The governance processes were not always effective and had not identified where best practice was not followed. Relatives and professionals told us there was a culture of openness and support. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right Support, Right Care, Right Culture.
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 meet with the provider after this report has been published to discuss how improvements have been implemented and imbedded. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.