Background to this inspection
Updated
19 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 19 July 2016 and was announced. We gave the service 48 hours’ notice, as the location provides a domiciliary care service and we needed to be sure someone would be in the office to facilitate the inspection, as well as allowing time to arrange for staff to be available to meet with us.
The inspection team consisted of two adult social care inspectors from the Care Quality Commission (CQC).
Prior to the inspection the service completed a Provider Information Return (PIR), which is a form that asks the provider to give some key information about the service. We also reviewed all the information we held about the service including statutory notifications and safeguarding referrals and contacted external professionals from Wigan Council.
As part of the inspection we spoke to the registered manager, two service managers (domiciliary care and supported living), seven staff members, eight people who used the service and two relatives.
We looked at seven care plans, eight staff files and seven training files. We also reviewed other records held by the service including audits, meeting notes and safety documentation.
Updated
19 August 2016
We carried out an announced inspection of Bespoke Supported Living on 19 July 2016. The inspection was announced to ensure management would be available at the office.
The service had last been inspected in November 2013, when it was located at a different address. We found the service to be compliant with all regulations assessed at that time.
Bespoke Supported Living provides supported living and domiciliary care in Wigan and the surrounding areas. Support is provided up to 24 hours per day to people with a variety of needs including people with learning disability and mental ill health. Supported living is facilitated in three separate properties within the Wigan area. At the time of the inspection a total of 53 people used the service:31 people were receiving domiciliary care; and 23 people lived in the supported living services.
At the time of the inspection there was a registered manger in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
All the people we spoke to told us they felt safe. We saw that the service had appropriate safeguarding policies and procedures in place. Staff were all trained in safeguarding vulnerable adults and had a good knowledge of how to identify and report safeguarding or whistleblowing concerns.
The registered manager, service managers and staff we spoke to had knowledge and understanding of the Mental Capacity Act (MCA) 2005 and how this applied to the people they supported. Staff were also knowledgeable of the Court of Protection and its role in legally authorising any deprivations of a person’s liberty.
We saw that staffing levels were sufficient to meet the needs of the people who used the service. Whilst some staff indicated that additional staff resources were required, they confirmed that the service was still able to meet all calls and people’s needs at the current levels.
Staff told us that they felt supported through completion of regular supervisions and monthly team meetings.
Robust recruitment procedures were in place to ensure staff working for the service met the required standards. This involved everyone having a DBS (Disclosure and Baring Service) check, at least two references and work history documented.
Staff reported that they received a good level of training to carry out their role. We saw that all staff completed an induction training programme before working with people who used the service and that on-going training was provided to ensure skills and knowledge were up to date.
We saw that the service had both a policy and systems in place to ensure safe medicines management was maintained. People we spoke with confirmed that they received appropriate support to ensure medicines were taken as prescribed. We saw that the service carried out regular audits to ensure medicines had been administered correctly and that stock levels were accurate.
People we spoke with were complimentary about the quality and nature of the care provided by the staff. Staff were described as being kind, respectful and mindful of people’s dignity.
We looked at seven care plans which contained detailed and personalised information about the people who used the service. The care plans also contained individual risk assessments, which helped to ensure their safety was maintained
Everyone we spoke to felt that the service was well run and managed. The management team were reported to be approachable and helpful and each staff member told us they enjoyed their jobs and working for the company.