Adrian O'Brien Rachel Amiee O'Brien – 122 Scorer Street

“Date of assessment: 12 November to 13 December 2024 We assessed a small number of quality statements from the safe, effective, caring, responsive and well-led key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. At the last assessment the provider had not always carried out Disclosure and Barring Service (DBS) checks to ensure staff were suitable to work in that type of service. At this assessment, DBS checks had been carried out prior to staff starting work, however, other recruitment checks such as ensuring there was a full employment history for staff had not been done. We found the provider was in breach of legal regulation in relation to staffing and good governance. There were not enough staff to safely support people. Training was not always effective in ensuring staff knew how to assess risk and understand how to support people when they were distressed. The role and responsibilities of the registered manager were not always carried out due to them having to support people as there were not enough staff. Care plans were not up to date with the most relevant information. We also found plans to guide staff on supporting people positively to avoid distress did not contain the most up to date information which put people and staff at risk. Despite our findings, people were living in a clean and well-maintained environment. People felt they could make decisions about how they wanted to be supported and what they wanted to do. 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.”