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Care Services

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Human Support Group Limited - York, Block A, Clifton Park, York.

Human Support Group Limited - York in Block A, Clifton Park, York is a Community services - Nursing, Homecare agencies and Supported living specialising in the provision of services relating to caring for adults over 65 yrs, caring for adults under 65 yrs, dementia, eating disorders, learning disabilities, mental health conditions, personal care, physical disabilities, sensory impairments and substance misuse problems. The last inspection date here was 7th April 2018

Human Support Group Limited - York is managed by The Human Support Group Limited who are also responsible for 36 other locations

Contact Details:

    Address:
      Human Support Group Limited - York
      Ground Floor
      Block A
      Clifton Park
      York
      YO30 5PB
      United Kingdom
    Telephone:
      01904202116
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2018-04-07
    Last Published 2018-04-07

Local Authority:

    York

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

6th March 2018 - During a routine inspection pdf icon

The inspection took place on 6 and 13 march 2018 and was announced. The provider was given notice because the service provides care at home and we wanted to make sure the manager and staff would be available to speak with us.

At the last inspection on 18 and 24 November 2016, we found the provider had not done all that was reasonably practical to assess, monitor and improve the quality and safety of the service provided. This was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Regulation 17, Good Governance. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to meet the breach of regulation. At this inspection we checked and this action had been completed; the provider had achieved compliance with this regulation.

This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It is registered to provide a service to people living with dementia, learning disabilities or autistic spectrum disorder, mental health and older people. The service also supports people who misuse drugs and alcohol, people with an eating disorder, people with a physical disability and people who may have sensory impairment.

Not everyone using Human Support Group Limited - York received a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of our inspection 75 people received a reablement service and 20 people received a domiciliary care service. Reablement is a short and intensive service, usually delivered in the home for up to six weeks. The purpose of reablement is to help people who have experienced deterioration in their health and/or have increased support needs to relearn the skills required to keep them safe and independent at home.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Quality assurance checks including audits provided oversight at provider level. People and their care workers were consulted and action plans formulated that aimed to improve the quality and delivery of the service.

Staff had access to a policy and procedure that provided with them guidance on working with people who might lack capacity under the Mental Capacity Act (MCA). Staff had completed training on the MCA and were able to discuss the importance of supporting people with their independence.

Care plans evidenced that individuals or their legal representative had been involved in their care planning. However, signed consent was not robustly recorded. Where a person was deemed to have lasting power of attorney to consent on the persons behalf checks had not been completed by the provider. Actions including checks were implemented during our inspection to improve this process.

Systems and processes were maintained to record, evaluate and action any outcomes where safeguarding concerns had been raised which helped to keep people safe from avoidable harm and abuse.

Associated risks for staff attending people’s homes and for providing care and support to people were assessed and managed through individual risk assessments and support plans. These provided staff with information to help keep both people and themselves safe from avoidable harm with minimal restrictions in place.

The provider had systems and process in place to ensure sufficient skilled staff were appropriately recruited into the service to meet people's individual needs.

Procedures were in place to guide staff on t

18th November 2016 - During a routine inspection pdf icon

Human Support Group Limited - York is a domiciliary care service registered to provide personal care to people living in their own homes. Alongside providing long-term packages of care, Human Support Group Limited - York also provides a reablement and assessment service, commissioned by City of York Council. Reablement is a way of helping people to remain independent by giving them the opportunity to relearn or regain skills of daily living that may have been lost as a result of illness, accident or disability. This service can be provided for up to six weeks and is intended to provide a period of assessment to identify people’s needs, alongside support for people to regain their independence. The location’s offices are on the outskirts of York.

We inspected this service on the 18 and 24 November 2016. The inspection was announced. The registered provider was given 48 hours’ notice of our visit, because the location provides a domiciliary care service and we needed to be sure that someone would be in the location offices when we visited. At the time of our inspection, 83 people were using the reablement service and 37 people were using the domiciliary care service.

The service was last inspected in September 2015 when it was rated ‘Requires improvement’ overall. This was because we had concerns about the management of medicines, found that records were not always well-maintained and the registered provider's quality assurance systems were not robust enough.

The registered provider is required to have a registered manager as a condition of registration for this service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The service did have a manager who had been in post since June 2016. They became the service’s registered manager in October 2016.

We identified concerns regarding late visits from staff. We found that reablement care plans were not consistently kept up-to-date and identified issues with staff’s recording around the support provided to take prescribed medicines. Issues with record keeping were an on-going concern from out last inspection demonstrating that the registered provider's systems to monitor and improve the quality and safety of the service provided were not robust enough.

We found a breach of regulation in relation to the registered provider's governance and quality assurance systems. You can see what action we told the registered provider to take at the back of the full version of this report.

People who used the service told us they felt safe with the care and support staff provided. The registered provider had a robust recruitment process to ensure only staff considered suitable were employed. Staff we spoke with showed a good understanding of their responsibility to safeguard vulnerable adults from abuse.

Staff received training and supervisions and spot checks were completed to monitor and support staff’s continual professional development. Staff we spoke with demonstrated that they understood the importance of seeking consent and people were asked to sign their care plans to record that they consented to the care and support provided. However, we have made a recommendation about recording people’s mental capacity to make decisions.

People who used the service told us they were happy with the support staff provided to ensure they ate and drank enough and we saw that systems were in place to monitor people’s food and fluid intake if there were concerns. People were supported to meet their health needs and staff liaised with healthcare professionals where necessary to promote people’s health and wellbeing.

People who used the service told us staff were kind and caring. People told us staff listened to their opi

9th September 2015 - During a routine inspection pdf icon

We inspected this service on the 9 September 2015. The inspection was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the location offices when we visited.

Human Support Group Limited - York is a domiciliary care agency based on the outskirts of York. The service provides care and support in people’s homes. Human Support Group also provides a reablement service, commissioned by City of York Council. This service can be provided for up to six weeks and is intended to help people regain their independence when, for example, someone is discharged from hospital. At the time of our inspection the service supported a total of 159 people across the domiciliary and reablement service.

The service was registered in August 2012 and at the last inspection, which took place in April 2013, the service was compliant with all of the regulations we assessed. This is the first rated inspection of this service.

The service did not have a registered manager when we inspected. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. Although the service did not have a registered manager, management arrangements were in place. The service had appointed a relief manager and they were supported by the area manager. The area manager told us that they had recently appointed a new manager and they would be applying to become the services registered manager when they started in post.

The area manager and relief manager told us there had been historic problems with the service which they had been addressing. We could see from this inspection that significant changes had been made. For example, a training plan had been put in place to make sure all carers mandatory training would be up-to-date and a new electronic call monitoring system had been introduced to more effectively share information and ensure carers were in the right place at the right time. However, further improvements still needed to be made and progress sustained to evidence a higher rating.

The service kept people safe by assessing their needs and putting risk assessments in place to reduce the risk of avoidable harm. Staff had training on the types of abuse they might see and knew how to respond if they had concerns. However, medication records were not always well maintained and staff training on managing medication was not always up-to-date. This increased the risk of medication errors for people using the service.

The service had an effective recruitment and induction process to equip new staff with the skills needed for their roles. Staff we spoke with told us they felt supported in their roles and were able to seek advice and guidance if needed. Although we found that training was not always up-to-date, we saw that the area manager had introduced a plan to address this and people using the service felt that carers were skilled and competent in their roles.

Staff cared about the needs of the people they were supporting and people using the service had developed positive and meaningful caring relationships with their familiar carers. Whilst, rotas were not always organised so that people received care from familiar staff, this was being addressed by management.

The service was responsive to people’s needs. Staff understood the importance of person centred care and had access to personalised information to support them to meet people’s individual needs. The service had a system in place to listen and respond to feedback, comments and complaints.

People using the service and staff we spoke with felt the service was well-led, however, records were not always well-maintained and whilst the service were aware of historic problems these were still being addressed at the time of our inspection. Although more recent improvements had been made, we could not evidence that the service had been consistently well-led.

9th April 2013 - During a routine inspection pdf icon

People told us they were happy with how their individuality and rights were respected by the staff. One person said “The staff treat me well and respect my privacy.”

People we spoke with said they received the help and support they needed. One person said “The staff have helped me to regain my independence.” We saw that people had support plans and risk assessments in place. to help staff to meet people's needs.

There were policies and procedures in place to help to protect people from abuse. Staff we spoke with knew what they must do if they suspected abuse was occurring. We were informed that any issues raised would be offered to the local authority safeguarding team. This helped to protect people.

Staffing levels were monitored by the management team. We saw there were enough staff to be able to meet people’s needs in a timely way. One person we spoke with said “The staff are friendly and skilled. There are enough staff.” Staff had the skills they needed to be able to look after people.

People told us that their views about the service were asked for. The manager monitored all aspects of the service. We saw that action was taken to maintain the quality of the service being provided for people.

 

 

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