This focused inspection of Housing & Support Solutions - Bridlington Region found the service had improved from its previous Requires Improvement rating to Good overall, with Effective rated Good following remediation of prior breaches around supervision and mental capacity. Well-Led remained Requires Improvement due to ongoing gaps in staff appraisals, training records, and provider-level-only satisfaction surveys that prevented service-specific quality improvement.
Concerns (5)
moderateSupervision / appraisal: “staff were still not receiving annual appraisals to promote their development.”
moderateRecord keeping: “Systems were not in place to record additional staff training and qualifications. The provider had requested a copy of staff certificates in July 2020, but this was not in place at the time of inspection.”
moderateGovernance: “Management audits were carried out to identify improvements. However, the actions were not always detailed and did not show how this had been embedded in the service.”
minorPerson-centred care: “Satisfaction surveys were carried out with staff and people; but these were at provider level. This meant the service could not always identify what was working well in the service.”
minorCommunication with families: “Staff confirmed they take part in surveys but do not always get feedback. Relatives and professional surveys had not been sent out due to the COVID-19 pandemic.”
Strengths
· Staff received training and supervision to ensure they had the skills and support for their role.
· Improvements made to staff supervision since last inspection; staff reported feeling well supported.
· Assessments of people's needs and choices were detailed, completed with people and their families, and reviewed regularly.
· People were supported to have maximum choice and control, with staff working in the least restrictive way possible.
· Improvements made to mental capacity assessments and best interest decision records since last inspection.
Quality-Statement breakdown (9)
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
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving careRequires improvement
well-led: How the provider understands and acts on the duty of candourGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood