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Date of assessment: 28 April to 27 May 2025. This service is registered to support people with physical disabilities, autistic people and people with a learning disability. ‘Right support, right care, right culture’ (RSRCRC) 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. We have assessed the service against ‘Right support, right care, right culture (RSRCRC)’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.The principles of RSRCRC had started to be embedded into the service. There were now systems and processes to ensure that safeguarding and incidents were recorded and reported appropriately. Systems to review and improve the quality of the service were still newly implemented and therefore still needed time to be successfully embedded. At our last assessment, the provider was in breach of legal regulations in relation to person centered care, dignity and respect, safeguarding, safe care and treatment, staffing, consent, fit and proper persons employed and governance. Improvements were found at this assessment and the provider was no longer in breach of these regulations. This service has been in Special Measures since 13 November 2024. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
npm run etl:reports -- --location 1-12344203640.Date of assessment: 19 August to 13 September 2024. This service is registered to support autistic people and people with a learning disability. ‘Right support, right care, right culture’ (RSRCRC) 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. The provider had failed to ensure they met the principles of RSRCRC. People had been harmed or were at risk of harm. People were not appropriately assessed, and staff did not have all of the information required. Risks were not well managed, and the service was poorly led. Lessons were not learned from incidents, and we were not assured the provider was open and transparent and shared all of the information we asked for during the assessment about incidents. The provider and staff had a poor understanding of assessment of people's capacity. Consent to care and treatment was not always obtained. Staff were not recruited safely, and people received calls that were late, early, short or overlapped. The provider conducted no audits on the service and did not maintain good oversight of the quality of care. We found 8 breaches of the legal regulations in relation to person-centred care, dignity and respect, safeguarding, safe care and treatment, staffing, consent, fit and proper persons employed and governance. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
npm run etl:reports -- --location 1-12344203640.Unite Highland Care received a Good rating across all five key questions at its first CQC inspection, with 8 people receiving personal care at the time. The service demonstrated safe medicines management, robust care planning, strong staff support and training, effective multi-agency working, and a person-centred, open culture led by a highly engaged registered manager.