One 2 One Support, Suite F12A

Updated 18 May 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 3 inspectors.

Service and service type

This service provides care and support to people living in 4 ‘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. This service also provides a domiciliary care agency. It provides personal care to people living in their own houses.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 28 March 28 and ended on 4 April 2023. We visited the location’s office on 29 March 2023.

What we did before the inspection

We reviewed information we had received about the service since its registration. We sought feedback from the local authority 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 spoke with 8 people who used the service and 5 relatives about their experience of the care provided. We observed interactions between staff and people living at the supported living services. We spoke with 9 members of staff in various roles, including the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 7 people's care records and other records relating to people's care and support. We looked at 8 staff files in relation to recruitment. A variety of records relating to the management of the service was reviewed, including policies and procedures.

Updated 18 May 2023

About the service

One 2 One support, Suite F12A is a supported living and domiciliary service that provides care to people in their own homes in Cheshire West.

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.

At the time of the inspection, a total of 23 people were using the service, of which 21 people were receiving support with personal care.

People’s experience of using this service and what we found

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.

Right Support:

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way to maximum people’s independence; the policies and systems in the service supported this practice. However, we found a lack of information relating to how best to support people around risk, this meant that people were not always safe from harm, Staff were deployed to support people both in their home and out in the community.

Recruitment checks were made, however we found inconsistency in information held to ensure safe recruitment was completed. We discussed this with the registered manager who acted immediately to provide further information that safe recruitment had been followed.

Care plans were in place, however we found short falls in this as key information regarding people was not always in place. We discussed this with the registered manager who shared that the provider was in the process of transferring information to an online care management system.

People were encouraged to have choice and control of their lives. Staff supported people to be as independent as possible in their homes and out in the community.

Right Care:

People were positive about the care and support they received. People were treated with dignity and respect by staff knowledgeable about the person and their support. People spoke with pride regarding their homes and links with people and their local community. People were supported to be independent both at home and in the community. Staff knew people well and spoke passionately regarding the people they supported and working for the provider.

Right Culture:

We found inconsistencies in auditing and assurance that people were protected from potential abuse.

The registered manager, nominated individual and staff demonstrated a personal-centred culture which focused on meeting people’s individual needs. The registered manager was committed to developing their knowledge and to make continued improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 25 February 2021. The last rating for the service under the previous provider was Good (published 09 January 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement

We have identified a breach in relation to the systems of oversight in place at the service, management of risks and checks that the provider was making to ensure that people were safe.

We have identified a breach in relation to the systems of oversight in place at the service, management of audits, risks and checks that the provider was making to ensure that people were safe.

Please see the action we have told the provider to take at the end of this report.

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.