Background to this inspection
Updated
19 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was undertaken by one inspector on 9 and 12 September 2019.
Service and service type
This service 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection-
We met with two people who used the service and observed their interactions with staff, one person was unable to communicate verbally about their care. We spoke with two relatives by telephone. We spoke with five members of staff including the registered manager, one manager and three care workers.
We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
19 October 2019
About the service
Time to Shine is a domiciliary care agency providing supported living to people living in shared housing. At the time of inspection there were three people living together in one house, receiving personal care.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service and what we found
There was a registered manager at the service, they had been registered since June 2016. The registered manager promoted a positive culture where people were supported to explore their choices and build on their abilities. Staff were committed to improving the quality of people’s lives.
Staff supported people to stay safe and understood their roles and responsibilities to safeguard people from the risk of harm.
People’s risks were assessed at regular intervals or as their needs changed. Care plans informed staff how to provide care that mitigated these known risks. People’s medicines were managed in a safe way.
People were actively supported to live a healthy lifestyle. People’s health and well-being had been improved by the vigilance and actions of staff and the management team.
People received care from staff they knew. Staff had a good understanding of people's needs, choices and preferences. People were supported to explore the world through sensory play. People’s privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.
People with a disability or sensory loss had access to information in a form that met their individual needs and preferences.
People were encouraged to explore their abilities and gain new skills to be more independent.
People were supported to express themselves, their views were acknowledged and acted upon. There was a complaints system in place and relatives were confident that any complaints would be responded to appropriately.
Staff were recruited using safe recruitment practices. Staff received training and support to enable them to meet people’s needs and carry out their roles.
The management team continually monitored the quality of the service, identifying issues and making changes to improve the care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 10 June 2016 and this is the first inspection.
Why we inspected
This was a planned inspection based on registration. Although the provider had been registered with CQC since June 2016, there were periods of time where they were not providing personal care. The provider commenced providing personal care in March 2019.
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.