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Date of assessment: 05 June 2025 to 26 June 2025. Midway Care Midway Support Services is a supported living and homecare service; at the time of the inspection the service was only providing supported living. The service is registered to provide support to people with a learning disability and autistic people, physical disability, mental health needs, people with a sensory impairment and adults aged under 65. Not everyone who used the service received personal care. CQC only inspects where people receive a regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. During the assessment we spoke with people who received care from the service, their relatives and healthcare professionals linked to the service. We spoke with staff including the acting manager, locality managers, quality director, operations director, and nominated individual. This was a responsive inspection of 3 key questions triggered by our ongoing monitoring 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. At the last inspection in October 2020, we rated the service Requires Improvement with 2 breaches of regulation in relation to safe care and treatment and governance. Whilst some improvements had been made, the provider remained in breach of these regulations. We found gaps in staff members' knowledge around the Mental Capacity Act (MCA). The oversight, administration and records of medicines required improving. Where people received as and when medicines (PRN) medicines there were protocols in place; however, these lacked effective guidance for staff. The provider's oversight of behaviour incidents required improvements. 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. In relation to safe care and treatment, we have requested the provider send us an action plan. There had been changes to the management team since the last inspection. The management team including locality managers, quality director, operations director, and nominated individual were all receptive to our feedback throughout the assessment. They began making some changes, during and after the inspection and were committed to continuing to make improvements within the service. People's experience of this service We spoke with people, relatives and professionals about the care provided. We made observations where people were supported. People and their relatives told us they were happy with staff members and the support they received. One relative told us, "I am happy with [person's]care, it is an excellent place. The staff are really nice." People knew how to give feedback and were confident the service took feedback seriously and acted on it. Relatives told us their loved one's needs, including their communication needs, were understood well by staff. Relatives felt staff had good knowledge of how to care for people. We were told how some people had experienced good experiences from the care provided and were given examples of how staff had collaborated well with professionals to ensure people received the care and support they needed. People and relatives said there were sufficient numbers of staff to support people. People and relatives told us staff supported people to have regular contact with their families.
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