Background to this inspection
Updated
6 January 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
The inspection was undertaken by one inspector and an Expert of Experience made telephone calls to relatives to seek their feedback. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service provides care and support to people living in six '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 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 24 hours’ notice of the inspection. This was because it is a small service and 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 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. 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
On 24 and 25 November, we went to the Turning Point- Derby office. We spoke with the registered manager, locality manager, team leader and administrative assistant. We requested staff phone numbers were emailed to us. We then phoned three care staff to discuss their experiences of working for Turning Point- Derby. We reviewed a range of records. This included the relevant part of six people's care records. We looked at two staff files in relation to recruitment. We saw a variety of records relating to the management of the service, including policies and procedures, audits and staff training. On 25 November we phoned three relatives for their feedback about the service.
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 one professional who regularly visit the service.
Updated
6 January 2022
About the service
Turning Point – Derby supports adults to live as independently as possible who have a learning disability and/or autistic spectrum disorder and whose behaviour may challenge. At the time of our inspection, 11 people were receiving personal care and lived in their own properties or supported living accommodation.
People’s experience of using this service and what we found
People were protected from avoidable harm by care staff who were safely recruited and had sufficient training. People’s needs were assessed, and risks, including catching infections were managed safely. People received their medication safely by suitably trained staff. Audits ensured medication errors were quickly identified and rectified.
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 were treated with dignity and respect. Staff spoke about people in a dignified way and knew their individual needs and preferences.
People received care that was kind, caring and compassionate. Staff promoted people's independence and maintained their privacy as much as possible.
When complaints were received, they were thoroughly investigated in a timely way by the provider. Actions were taken to resolve concerns. People had end of life care, staff and management had procedures in place to be able to support people with end of life care, including training and support from other professionals.
The registered manager and the management team understood their responsibilities in relation of their regulatory requirements. There was a honest and transparent culture and staff found the management reliable and supportive. Following incidents, lessons learnt were identified and shared to help make improvements. The provider was in a process of making good monitoring processes to continue to drive further improvements. The provider worked well with others involved in people's care to help ensure good outcomes for them. Peoples received individualised person-centred care.
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 12 April 2021) and there were breaches of Regulation 12 Safe care and treatment and Regulation 17 Good governance.
At this inspection found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
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.