Background to this inspection
Updated
15 February 2023
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
This inspection was completed by 1inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes and specialist housing.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with CQC 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
We gave the service 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection. We visited the location's office on 25 January 2023.
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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 with 6 staff members including the registered manger, the operations director, and care staff. We reviewed 3 care plans, medication records and 3staff files. We spoke with 3 people receiving a service and 3 people's relatives. We reviewed records associated with the management of the service, which included policies, procedures, audits, and checks. We looked at staff recruitment details, training, supervisions, appraisals and checks to determine staff were competent in their roles.
Updated
15 February 2023
About the service
Priory Supported Living North Yorkshire is a domiciliary care service providing supported living to people with a learning disability or autistic spectrum disorder, mental health, older people, people who may have a physical disability, and younger adults in their own homes. At the time of the inspection, the service was providing regulated activity of personal care to 12 people.
Not everyone using the service receives 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.
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.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: 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.
People were supported safely by enough suitably trained and recruited staff which included the use of agency staff where necessary. Staff received required induction, training and supervision to support them in their roles.
People told us they felt safe where they lived and with the staff who supported them. Staff had a clear understanding of how to raise any concerns and were confident these would be robustly investigated in an open and transparent way.
People's care plans and risk assessments reflected their needs and preferences and staff were knowledgeable about the level of support people required.
Right care: Care was person-centred and promoted people's dignity, privacy and human rights;
People were at the centre of and involved in planning their care and support. People told us staff were respectful, caring and understanding around their emotional and physical needs. Care was delivered following a robust assessment of needs to ensure people’s wishes, preferences and any personal characteristics were recorded and supported.
Right culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives.
Care plans included people’s input and support was provided with input from a range of external health professionals to help people to live their best lives.
The culture of the service was open and empowered individuals to express their views and be in control of their lives with the support of staff.
People told us they felt confident to approach the management team and that their suggestions would be heard and responded to.
A range of quality checks with oversight at provider level helped to maintain and improve the service and the lives of people supported.
For more details, please see the full report which is on the Care Quality Comission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 10 November 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.