About the service

Turning Point 1-2 Cuthberts Close provides accommodation, nursing and personal care for up to 12 people who have a learning disability in two adjacent bungalows. There were six people using the service on the day of our inspection.

Before the inspection the provider had applied to the Care Quality Commission to de-register this service as a care home and applied for it to be registered as a supported living service. On 22 May 2019 this service was de-registered as a care home and is now registered as a supported living service as part of Turning Point – Bradford.

People’s experience of using this service

People appeared relaxed and comfortable with staff. Relatives we spoke with said they felt their family members were safe and well cared for. Medicines were managed safely. Staff followed infection prevention and control guidelines. Potential risks to people were assessed and managed appropriately. There were enough staff to meet people’s needs. Safe recruitment procedures were in place.

Staff sought people's consent before providing care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. We have made a recommendation regarding Mental Capacity Act 2005 documentation. Staff training in key areas was up to date.

Staff respected people's privacy and dignity and people were supported to be as independent as possible. Staff treated people with kindness and respect. Relatives told us staff were caring.

People received personalised care that was responsive to their needs and preferences. It was clear from our conversations with staff they knew people’s needs well.

The provider had effective systems in place to monitor the quality of the care provided and generate improvements. A comprehensive audit carried out in February 2019 identified a significant number of areas where improvements were needed. All actions had been completed or were being addressed at the time of our inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Requires Improvement (report published 1 May 2018).

Why we inspected

This was a scheduled inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The inspection was carried out on 31 January 2018 and was unannounced.

1-2 Cuthbert’s Close is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Cuthbert’s Close accommodates 12 people across two separate units, each of which have separate adapted facilities. Both of the units specialises in providing care to people with learning disabilities.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There had been a change of registration in November 2016 when, a new provider had been registered. This was the first inspection of the new provider

The service had a registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

People told us they felt safe. Correct safeguarding reporting procedures were followed. Staff were aware of the actions they would take to keep people safe. Correct procedures were followed to keep people’s money safe.

Overall risks to people’s health, safety and welfare were identified and action taken to manage the risk. Staff demonstrated a sound awareness of infection control procedures.

There was enough staff deployed. All the required checks were done before new staff started work and this helped protect people.

Medicines were managed safely.

People were provided with care and support by staff that were trained. Staff told us they had received induction and training relevant to their roles.

People were supported with their health care needs. We saw a range of health care professionals visited the service when required and people were supported to attend health care appointments in the community.

People were treated with respect and kindness and were given the opportunity to take part in a variety of social activities.

Staff knew people’s likes and dislikes in relation to food. People were offered a choice and people were observed to be enjoying the food they were prepared.

People's needs were assessed prior to commencement of the service and family were involved in the review of their care. Personalised care plans were in place and these were regularly updated or when care and support needs changed. Care plan documentation was very bulky and required consolidating.

The service was compliant with the legal requirements of the Mental Capacity Act and the registered manager understood their responsibilities under the Act.

There was an open and transparent culture at Cuthbert’s Close. People respected the management team and found them approachable. Staff told us they felt supported in their roles and their views were listened to through surveys and team meetings.

The home was clean and infection control measures were in place. Some improvements were required to the decoration of the property, this had been already been identified The manager had robust audits in place to monitor the risk and spread of infection.