Select Support Partnerships Ltd Blackburn was rated Good across all five key questions at its September 2023 inspection, with 33 people supported across 10 supported living sites. Recommendations were made regarding consent form completion and governance systems, both of which the provider began addressing during the inspection.
Concerns (4)
moderate
Consent / capacity
: “A number of consent forms were in place and in different formats. However, they were not always signed by the person using the service or their advocate.”
moderateIncident learning: “we found some incidents that should have been reported were overlooked. Lessons learnt were in place, but more work could be done to ensure risks related to incidents could be mitigated.”
moderateGovernance: “We recommended the provider reviews their governance systems to ensure quality assurance was further strengthened.”
minorRecord keeping: “people's medicine records did not have photographs to identify the person and personal information was not always written such as allergies.”
Strengths
· Enough skilled and experienced staff employed; safe recruitment processes including DBS checks in place.
· Detailed person-centred risk assessments and support plans developed prior to service commencement.
· Staff well-trained with up-to-date training records and regular competency checks including medicines administration.
· People supported to maintain independence, make their own decisions, and enjoy a range of activities including holidays.
· Strong multi-agency working with specialist learning disability nurses, social workers, speech and language teams and advocates.
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: How the provider understands and acts on the duty of candour; Continuous learning and improving careGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood