Background to this inspection
Updated
1 December 2018
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.
This inspection took place on 31st October and the provider was given 48 hours’ notice as the people living there are often out during the day and we needed to be sure that someone would be in.
The inspection was carried out by one inspector. We looked at information we held about the service which included notifications that we had received from the provider about events that had happened at the service. A notification is information about important events which the provider is required to send us by the law.
Prior to the inspection the provider submitted a provider information return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and the improvements they plan to make
During the inspection we spoke with two relatives, three staff members, a health professional the registered manager and the area manager. People living in the service were unable to communicate with us effectively so we spent time observing the care that people living in the service received to help us understand their experiences of living there. We reviewed the care records of three people and records relating to the management and quality assurance of the service.
Updated
1 December 2018
This inspection took place on 31 October 2018 and was announced. At the last inspection completed on 18 February 2016 we rated the service Good. At this inspection we found the service continued to be Good.
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.
There was a registered manager in post at the time of our inspection. A Registered Manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were safeguarded from abuse and people’s risks were for assessed and plans were in place to manage these. People were supported by sufficient numbers of safely recruited and trained staff.
Medicines were managed safely and people received their medicines as prescribed. People were supported to eat and drink enough to maintain a healthy diet. People had access to healthcare and people's health needs were monitored and responded to.
Safe recruitment practices were followed and staff were provided with regular supervision and support.
People were supported to make informed decisions and where a person lacked capacity to make certain decisions they were protected under the Mental Capacity Act 2005. People were supported in the least restrictive way possible and staff were knowledgeable about how to support people who presented behaviours which may challenge others.
Staff had a very good understanding of how people communicated, and were kind and compassionate and treated people with respect and people's rights to privacy and dignity were promoted and upheld.
People and their families were supported to raise issues and staff knew how to deal with concerns if they were raised.
Where possible people and their families were involved in planning their care and support, staff knew people's individual preferences and tailored support to meet their needs. People were enabled to make choices about their care and support and encouraged to be as independent as possible.
People led full and varied lives and were supported to have a social life and to pursue their interests and goals.
People using the service, staff and relatives were involved in giving their views on how the service was run and there were effective systems in place to monitor and improve the quality of the service provided. People and staff were encouraged to raise any views about the service on how improvements could be made, and the registered manager promoted an open culture.