A.S.P.E.C.T.S (Staffordshire) Limited, a supported living service for people with a learning disability or autism, was rated Good overall at its first inspection, with care being personalised, dignified and responsive to individual needs. The Well-Led domain was rated Requires Improvement due to gaps in care record detail, incomplete mandatory learning disability training for all staff, and a failure to update the provider's registered address in a timely manner.
Concerns (4)
moderateRecord keeping — “People's records did not contain detailed information about their mental capacity and specific health care support they may require.”
moderateStaff training — “Some staff had not received learning disability training. This became a requirement in July 2022 and the registered manager was unaware.”
minorGovernance — “The provider's location address had not been changed on their registration certificate. This is a legal requirement.”
minorConsent / capacity — “There was limited information about people's mental capacity within their care plans and assessments.”
Strengths
· Staff supported people's aspirations and goals, encouraged independence, and assisted access to local communities.
· People were treated with dignity and respect; care was personalised to individual needs.
· Safe recruitment processes were in place including references and DBS checks.
· Medication administration was safe, with regular audits and staff competency checks.
· People and relatives were actively involved in care planning and decision-making.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support, training, skills and experienceGood
effective: Supporting people to live healthier lives and access healthcare servicesGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised careGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships and avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candour and continuous learning and improving careGood
well-led: Engaging and involving people, the public and staff; working in partnership with othersGood