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Date of assessment: 29 July 2025 to 13 August 2025. Aspire Hub 1 is a domiciliary care agency. It provides personal care to people living in their own homes. Not everyone using the service received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of this assessment, 29 people were receiving personal care from the service. We carried out an onsite and offsite responsive assessment of the service due to emerging risk. We found 2 breaches of the legal regulations in relation to, safe care and treatment and the governance of the service. We have assessed the service against ‘Right support, right care, right culture’ 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 provider did not have effective governance systems demonstrating clear management and oversight of the service. Quality monitoring and auditing was not sufficiently robust and had not identified the concerns found during the assessment, or ensured appropriate action was taken. People’s medicines were not managed safely. Improvements were needed to ensure regular reviews of medicines occurred and systems were needed to ensure people’s medicines were administered safely. People were supported by staff who understood how to protect them from abuse and avoidable harm. However, incidents, accidents and safeguarding concerns were not always identified in a timely manner to ensure quick actions were taken to mitigate future risks. People were supported by staff to have maximum choice and control of their lives. There were enough staff available to meet people’s needs. There was a positive staff culture and people told us they felt supported and safe with staff who cared for them. Staff told us they were regularly supported by managers who were open and honest. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-13447809532Date of assessment: 9 July 2025 to 22 July 2025. Aspire Hub 1 is a supported living service providing personal care to people with a learning disability and autistic people living in their own homes. At the time of the assessment, 13 people were receiving the regulated activity personal care. We have assessed the service against ‘Right support, right care, right culture’ 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. We carried out this assessment in response to concerns we had received. We identified 2 breaches of the legal regulations. The service was in breach of safe care and treatment and good governance. The provider did not have effective governance systems demonstrating clear management and oversight of the service. Quality monitoring and auditing was not sufficiently robust and had not identified the concerns found during the assessment, or ensured appropriate action was taken to update the records. People were supported by staff who understood how to protect them from abuse and avoidable harm. However, we were not assured that incidents and accidents were managed effectively as actions had not always been carried out for example, additional staff training to improve practice. It was also difficult to determine trends or themes as records were not always accurate. People’s medicines were not managed safely. Improvements were needed to ensure regular reviews of medicines occurred and new systems were needed to ensure people’s medicines were administered safely. People were supported by staff to have maximum choice and control of their lives. However, some best interest decisions were not always completed correctly in line with the Mental Capacity Act. There were enough staff available to meet people’s needs. Culture within the service was not always positive. Some staff told us they did not feel supported by the management whilst others felt supported. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-13447809532.Aspire Specialised Supported Living Service improved from Requires Improvement to Good overall, with strengths in medicines management, risk assessment, person-centred care and quality assurance systems. Key concerns included 5 safeguarding incidents unreported to CQC and mixed staff and relative feedback about the registered manager's visibility and approachability.