Archived: Khaya Project 2

Updated 16 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We gave the service 48 hours’ notice of the inspection visit because we needed to be sure the manager would be in.

Inspection site visit activity started on 7 November and ended on 8 November 2018. The office location and the supported living scheme was on the same premises. One inspector and an expert by experience inspected the service on 7 November and the inspector returned to the service on 8 November 2018 to complete the inspection. The expert by experience made phone call to a relative and spoke with three people in the communal area of the premises. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. During our inspection we spent time observing the support being provided to people in the communal area of the premises. We also spoke with two members of staff and the manager. We looked at three people’s care records and five staff records. We also looked at records related to the management of the service such as the medicines records, accidents and incidents reports, health and safety records, and the provider’s policies and procedures.

Before the inspection, we looked at all the information we held about the service. This information included the statutory notifications that the service sent to the Care Quality Commission. A notification is information about important events that the service is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also contacted the commissioners and the local authority safeguarding team for their feedback about the service. We used this information to help inform our inspection planning.

Updated 16 February 2019

This inspection took place on 7 and 8 November 2018 and was announced. Khaya project – 2 provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. At the time of the inspection the service was providing care and support to four people.

At our last inspection of this service on 16 June 2016 the service was rated Good. At this inspection we found two breaches of the fundamental standards and regulations. The provider had not ensured there were risk assessment and management plans for people identified with a health condition and behaviour that challenged. The provider’s quality assurance systems were not effective.

You can see what action we told the provider to take at the back of the full version of the report.

There was a system in place to manage accidents and incidents to reduce the possibility of reoccurrence. There were systems and processes in place to protect people from the risk of abuse.

The service had enough staff to support people. The service carried out satisfactory background checks of staff before they started working. Staff supported people so they took their medicine safely, however one member of staff’s competency to administer medicines had not been assessed. The service had arrangements in place to deal with emergencies and staff were aware of the provider’s infection control procedures.

Staff carried out an initial assessment of the needs of each person to ensure they could be met before they started to use the service. The service provided induction and training to staff to help them undertake their role. The service supported staff through supervision and annual appraisals.

People’s consent was sought before care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and the policies and systems in the service support this practice.

Staff supported people to eat and drink sufficient amounts to meet their needs. Staff supported people to access healthcare services they required.

Staff considered people’s personal choices, general wellbeing and activities. Staff supported people to make day to day life choices and maintain relationships with their family. Staff supported people in a way which was kind, caring and respectful. Staff protected people’s privacy and dignity.

The service had a clear policy and procedure about managing complaints. People knew how to complain. The provider had systems and processes in place to support people with end of life care in line with their wishes. However, at the time of the inspection no one required end of life care support from the provider.

The provider had notified us of notifiable events. The service sought the views of people using the service. Staff felt supported by the manager. The service worked effectively in partnership with health and social care professionals and commissioners.

The last inspection rating of the service was displayed correctly on their website.