We carried out a review of the data available to us about Inshore Support Limited - 1 Whitehall Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Inshore Support Limited - 1 Whitehall Road, you can give feedback on this service.
Inshore Support Ltd – 1 Whitehall Road is registered to provide accommodation and personal care to three people. People who live there may have a learning disability and/or autism. At the time of the inspection three people lived at the home.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service an live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
There had not been a registered manager in post since March 2019. It is a legal requirement that a registered manager be in post in registered care services. A new manager had been appointed by the service and applied to become registered manager of the service.
People were supported by staff who knew them well, were aware of the risks to them on a daily basis and the actions they should take to reduce those risks and keep people safe from harm.
Staff had received training in how to safeguard people from abuse and where concerns had been raised they had been acted on and responded to appropriately.
People were supported to receive their medication as prescribed by their GP.
Accidents and incidents were reported, recorded and acted on. Information was analysed for any lessons to be learnt.
Staff felt supported and listened to and were provided with a variety of training opportunities in order to obtain the skills needed to support people safely and effectively. Staff competencies were regularly assessed and staff were given the opportunity to discuss any concerns they may have through regular supervision meetings.
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 to access a variety of healthcare services to help them maintain good health and to eat and drink enough to maintain a balanced diet.
People were treated with dignity and respect by a group of staff who knew them well. Staff respected people’s decisions on how they wished to spend their time and encouraged people to maintain their independence, where possible.
Staff knew people well. Care plans held details regarding people’s likes and dislikes, their individual goals, how they wished to be supported and what was important to them. People were supported to maintain relationships with family and take part in activities they enjoyed. People’s opinions were sought through meetings and surveys. Relatives had no complaints but were confident if they raised concerns they would be responded to appropriately.
Staff and relatives were complimentary of the service and the manager. There were a variety of audits in place to provide the manager with oversight of the service. The manager was keen to develop and improve the service and worked alongside other agencies to meeting people’s needs. The staff were onboard with the manager’s vision for the service.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 30 June 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.
People continued to receive support that kept them safe and staff received training that enabled them to know how to keep people safe. There was still enough staff available to keep people safe and administer their medicines as they were prescribed.
People continued to be supported by staff who had the skills and knowledge to meet their needs. Where people’s human rights were restricted this was done as required within the law. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported and encouraged to make decisions they were able too.
The care people received continued to be good. People’s privacy dignity and privacy was being respected.
The service responded to people’s support needs as required. A complaints process was in place so people or their representatives could share their views.
The service continued to be well led. The provider ensured checks and audits on the service continued to take place. The provider used questionnaires to gather views as to the quality of the service and continued to identify areas to improve on.
This was an unannounced inspection that took place on 18 December 2014.
The last inspection of this service took place on 12 September 2013. There were no breaches of legal requirements at that inspection.
1 Whitehall Road is a care home registered for three people. The home provides accommodation and care for people who have a learning disability and at the time of the inspection, three people were living there.
There was a registered manager in post. 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.
We observed that people were being treated kindly and with dignity and respect and had positive relationships with the staff group.
Staff had access to a variety of training and demonstrated the knowledge to meet the needs of and support the people in the home. There were policies and procedures in place in relation to safeguarding and staff were aware of their roles and responsibilities in respect of keeping people safe.
The Mental Capacity Act 2005 (MCA) sets out what must be done to make sure that the human rights of people who may lack mental capacity to make decisions are protected, including then balancing autonomy and protection in relation to consent or refusal of care. The MCA Deprivation of Liberty Safeguarding (DoLS) requires providers to submit applications to a ‘Supervisory Body’ for authority to deprive someone of their liberty. We found that people’s rights were protected in line with the legislation.
People were appropriately supported and had sufficient food and drink to maintain a healthy diet. People were encouraged to do what they could for themselves and were supported to access the community on a regular basis and maintain friendship groups with people from other homes.
We saw that systems were in place to ensure people were supported to maintain good health. The manager and staff had proactively sought additional advice from health care professionals in order to meet the needs of people living at the home and to develop their own learning.
Medicines were managed safely and people received their medicines when they should. Medication audits took place on a daily basis. Where particular medicines needed to be administered in the event of an emergency, there was clear guidance available and staff had received training in support of this.
We noted that detailed care plans and risk assessments were in place and were regularly reviewed and updated. Staff were able to demonstrate a detailed knowledge of each person living at the home, their likes and dislikes and how to meet their needs.
We observed the staff group worked well as a team and supported each other. Everyone spoken with felt confident in the ability of the manager of the home and felt fully supported by him. There were systems in place to monitor the quality of the home. People told us that they found the manager and staff group were approachable and supportive and they would raise any concerns should they need to.
People with learning disability are not always able to tell us about their experiences so we looked at records relating to their care and observed staff caring for them. Throughout the day we saw staff communicating with each person in the way that they could understand.
We saw that people's views and choices were sought and acted upon. Staff spoken with were able to tell us about people's needs and how they ensured that people received care in a way that they preferred.
Medicines were prescribed and given appropriately to the people who used the services.
The needs of people living at the home were being met through the provision of sufficient and appropriately skilled staff.
There were systems in place to monitor how the home was run, to ensure people received a quality service. The commissioner said, 'People are actively supported by the home to achieve their optimum functioning.'
People with learning disability are not always able to tell us about their experiences so we looked at records relating to their care and observed staff caring for them. Throughout the day we saw staff communicating with each person in the way that they could understand.
We saw that choices were offered and that people's views were sought and acted upon. Staff spoken with were able to tell us about people's needs and how they ensured that people received care in a way that they preferred.
We saw that people were relaxed in their environment and that systems were in place to keep people safe from harm. A range of training was provided to staff so that they had up to date knowledge and skills in order to support the people who lived in the home. There were systems in place to monitor how the home was run, to ensure people received a quality service. A commissioner said ' they actively support people to do as much as they can.'