Date of assessment 30 June 2025. The service is a supported living service providing support to adults with learning disabilities. The inspection was carried out because of the time since the last assessment. 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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. The provider had completed care plans for people they supported. These care plans were person centred and contained details of people’s needs and preferences. People told us they were supported well. We saw that staff were caring and kind and supported people in their preferred way. However, there were areas of governance which required improvements. We found breaches of the legal regulations in relation to safe care and treatment. We have asked the provider for an action plan in response to the concerns found at this assessment.
PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-297325354.
Keiron Starns Care Agency received a Good rating across all five key questions at its October 2015 inspection, providing personalised, person-centred care to two people with learning disabilities. The service demonstrated safe medicines management, effective safeguarding systems, strong leadership, and a well-trained, motivated staff team.
Strengths
· Medicines managed safely with fully completed administration records and safe storage
· Staff demonstrated strong safeguarding knowledge and knew how to escalate concerns externally
· Person-centred support plans regularly reviewed with people and their relatives
· Strong registered manager with clear values, open culture, and regular audits of service quality
· Staff received role-specific training including dementia training identified proactively with social worker
Keiron Starns Care Agency provides consistently good care to three people with learning disabilities in a supported living setting, with strong person-centred values, safe practices and an embedded culture of promoting independence. Minor gaps were noted in supervision record-keeping and the absence of advance care plans, both of which the registered manager agreed to address.
Concerns (2)
minorSupervision / appraisal: “the supervision records we saw did not show that staff were given an opportunity to discuss any training or support needs. Instead, the records were of observations of the support they provided”
minorEnd-of-life care: “Advanced plans were not in place. These are plans that describe people's preferences about how they want to be cared for at the end of their lives.”
Strengths
· People felt safe and staff demonstrated good knowledge of safeguarding procedures
· Risk assessments promoted independence while maintaining safety, with positive risk-taking examples
· Safe recruitment procedures including DBS checks and full employment history
· Medicines managed safely with regular stock balance checks and safe disposal processes
· Staff received regular training and felt well supported by the registered manager