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Date of assessment: 19 February to 18 March 2026. The location includes 2 different Assessment Service Groups (ASGs). The location is registered for the ASGs ‘supported living’ and ‘domiciliary care’. Under CQC’s new assessment methodology, the 2 ASGs are reported on separately. This report is in respect of the supported living setting only and considers only those service users who received support from that ASG and the regulated activity of personal care. At the last assessment, the service was in breach of regulations around the provision of person-centred care and governance. We carried out this assessment to follow up on those breaches. The service had made improvements and is no longer in breach of regulations. Safety was a priority for the service, staff were encouraged to raise any safety concerns, and the provider had a clear culture of learning from safety events. Staff had received training in safeguarding and understood their responsibilities. The management team had worked with people, families and professionals to implement robust and person-centred support plans and risk assessments. Staff were recruited safely and had received training appropriate for their roles. The provider managed medicines safely and people received their medicines as prescribed. Staff assessed people’s needs and these assessments were detailed, up to date and kept under regular review. Staff used recognised risk assessment tools and followed best practice guidance throughout the delivery of people’s care. Staff consistently communicated well with other services. Staff worked hard to identify goals and aims for people which they enjoyed and which supported them to live healthier lives. Staff monitored and documented outcomes for people, looking at where things had worked well, and where improvements were needed. Staff were kind and caring. Staff understood people’s needs well and communicated with people in an understanding and empathetic way. Staff gave people choice wherever possible. Staff had clear guidance which set out how to effectively support people should they become distressed. Staff understood the guidance and applied it consistently. The provider had initiatives in place to support staff wellbeing, and staff spoke about a positive morale within the service. Staff had a robust understanding of people’s likes and dislikes. Staff and the management team were proactive in supporting people to lead fulfilling and active lives. Communication within the service was effective. The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff had received equality and diversity training, and understood their responsibilities in this area. There was a positive culture within the service, and staff were supported to provide consistent and person-centred care. The management team were competent, visible and led by example. They were knowledgeable about issues and priorities for improving the quality of service. There were robust quality assurance processes and procedures in place and the management team had good oversight of the service. There had been a clear focus on learning and improving 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 service was compliant with this guidance.
npm run etl:reports -- --location 1-264070259.St Anne's Community Services – York DCA was rated Inadequate overall following an October 2023 inspection prompted by safeguarding and record-keeping concerns, with breaches identified across safe care and treatment, person-centred care, staffing, and good governance. The service was placed in special measures due to widespread failures including unsafe medicines management, inadequate risk assessment, poor incident escalation, insufficient staffing, ineffective quality assurance, and failure to meet the social and communication needs of people with learning disabilities and autism.
The location supports 2 different Assessment Service Groups (ASGs). The location is registered for the ASGs supported living and domiciliary care. Under CQC’s new assessment methodology, the 2 ASGs are reported on separately. This report is in respect of the domiciliary care agency only and considers only those service users who received support from that ASG and the regulated activity of personal care. We completed an offsite assessment of the domiciliary care agency. This started on 11 July 2024 and initially covered 7 quality statements. We then increased the scope of the assessment in October 2024 and completed the remaining quality statements. The rating for this ASG has improved to Good. There were systems in place to ensure people received the care and support they needed. The provider had worked to improve support plans and risk assessments, and these gave staff the information they needed. Staff were knowledgeable about the people they supported and delivered care in line with people’s preferences. People were safeguarded from the risk of harm or abuse. There was a new management team who had worked to make systems more robust. Quality assurance audits and new checks were in place, but more time was needed to demonstrate the consistency and effectiveness of these systems. Further changes of management were due to take place so improvement was needed in relation to the consistency of leadership. There were also some recruitment and staffing challenges, which the provider was working to address. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make judgements about services supporting people with a learning disability and autistic people. The provider was working in line with these principles.
npm run etl:reports -- --location 1-264070259.The location includes 2 different Assessment Service Groups (ASGs). The location is registered for the ASGs ‘supported living’ and ‘domiciliary care’. Under CQC’s new assessment methodology, the 2 ASGs are reported on separately. This report is in respect of the supported living setting only and considers only those service users who received support from that ASG and the regulated activity of personal care. We carried out our onsite assessment on 9 July 2024. Offsite assessment activity started on 11 July 2024 and ended on 31 July 2024. The last rating for the service was inadequate (report published 8 December 2023). At the last inspection, the provider was in breach of regulation regarding safe care and treatment, safeguarding and recruitment. At this assessment, some improvements had been made and the provider was no longer in breach regarding safe care and treatment, safeguarding and recruitment. At the last inspection, the provider was also in breach of regulation regarding the provision of person-centred care and governance of the service. Although some improvements had been made, at this assessment the provider remained in breach of these regulations. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-264070259.npm run etl:reports -- --location 1-264070259.npm run etl:reports -- --location 1-264070259.