Background to this inspection
Updated
21 December 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of an inspector.
Service and service type
This service provides care and support to people living in ‘supported living’ settings, 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
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. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke to people who use the service, staff and relatives. We tried to contact six people but was unsuccessful. We spoke to four relatives of people and five staff members (support workers and team leaders) including day and night staff.
We reviewed two peoples care plans, additional care planning documents for persons with specific dietary needs or support, documents detailing activities undertaken by people, medicine records, staff appointment and training records.
Updated
21 December 2022
About the service
Endurance Kent – Broadstairs is a supported living service providing personal care currently to ten people using the service. The property is divided into six purpose built self-contained apartments with three or four people living in them. There is a separate office and waking night support in place for people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Right Support: The staff supported people to have the maximum possible choice, control and independence and they had control over their own lives. Relatives told us people had a voice and were supported by staff to be heard and achieve their goals. However, staff did not document decisions in accordance with the Mental Capacity Act 2005.
The service worked with people to plan for when they experienced periods of distress so that they maintained freedom and choice. Staff knew and were confident recognising when people may need additional support and may present a greater risk to themselves.
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. We reviewed care plans that showed staff were skilled to assist people and minimise any risks of harm.
Right Care: People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff promoted and supported people to maintain relationships with their families and partners. Families told us they supported their relative to visit Canterbury, meet up with friends and travel safely on trains and buses.
Staff knew people well, what they liked and disliked discussing, planning and arranging activities that were meaningful to them such as visiting the Emmerdale set, Arsenal Stadium or planning holidays in the UK and abroad to Disneyland Paris. Other people took part in community projects such as gardening twice a week, maintaining their own allotment or attending the hairdressers and having their nails painted.
Right Culture: Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff cared about people, explaining how they support them to “live their best life.” Staff told us “This is the best job I have had; I feel like my time is extremely valuable and my presence is having an impact, in a positive way.” Staff told us many of the people they support have anxiety about trying new things, but they take time to research and encourage them to try new experiences.
The service enabled people and those important to them to be involved in developing the service. People could be visited whenever they wished, and people could visit or have friends stay over in the accommodation. People chose their key worker and had the opportunity to attend and comment on how care was provided at house meetings. Staff valued and acted upon people’s views changing practices to improve their living environment. Some people decided to buy their own televisions following a house discussion. This enabled the people greater choice and freedom over what and when they watched programmes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 12 May 2021 and this is the first inspection.
We have found evidence that the provider needs to make improvements in two key questions; effective and well led.
You can see what action we have asked the provider to take at the end of this full report.