Prospect Place

Prospect Place is an extra care service providing personal care to adults and older people who live in their own flats in a multi-occupational house. This includes people with a physical disability, dementia, mental health or learning disability. At the time of our inspection there were 16 people using the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: Staff did not consistently support people with their medicines. This was addressed by the provider once it had been brought to their attention.

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; however, the policies and systems in the service did not always support this practice.

Staff supported people to access health and social care support in the community. This included supporting people to take part in activities available in their home.

Right Care: People could not always be assured staff knew how to support them with their individual health or medical needs. This was because specific guidance about how to support people was not always available to staff.

People were supported by staff who had been trained in how to care for them. Additional staff training to support people with a learning disability was planned to ensure staff had the necessary skills to understand and support them if they needed care.

People told us they received kind and compassionate care from staff who understood them well and enjoyed their company. A person told us, “Definitely recommend: The staff friendship and humour. They are really kind and would go to the ends of the earth to help you.”

There were enough staff to meet people’s needs and keep them safe. The service was flexible and could adapt to meet people’s changing needs. Staff understood how to protect people from poor care and abuse.

Right Culture: Quality assurance and monitoring systems were not always effective in monitoring the service nor identifying shortfalls so improvements could be made.

People benefited from the open and positive culture of the service where the staff and care coordinator were approachable. Comments about the staff included, “They all pull together. I cannot thank them enough”; and “If they have a concern, when the carers are passing they’ll knock and check to see if you are okay.” Compliments about the care coordinator included, “If I ring and ask to speak with the care coordinator and they’re busy, they don’t forget you; they make time for you.”

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 22 October 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service. This included concerns about the overall management of the service. A decision was made for us to inspect and examine those risks.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspection.