10 February 2023
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.
This inspection was carried out by 1 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.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small, and we needed to ensure the provider would be available to support the inspection.
What we did before inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. We used this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We obtained feedback from 2 people who used the service. Not everyone using the service was able to speak with us, so staff supported them to feedback using their preferred communication methods. We spoke with 2 professionals who work with the service. We spoke with 7 members of staff, including the registered manager, junior psychologist and operations manager, training manager and support workers. We reviewed 2 people’s care and support records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.
10 February 2023
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.
About the service
Prudent Supported Living Limited is a supported living service providing personal care to people as part of the support they need to live in their own homes. The service supports children aged 13-18, younger adults, older people, people with a mental health diagnosis, people with a learning disability and autistic people.
Not everyone who uses 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 consider any wider social care provided. At this inspection there were 2 people who received personal care.
People’s experience of using this service and what we found
Staff knew people well and focused on people’s strengths and promoted what they could do. People had a fulfilling and meaningful everyday life because staff promoted independence wherever possible.
The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative.
Staff supported people to make decisions following best practice in decision-making. People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People received exceptionally kind and compassionate care. Staff promoted equality and diversity in their support for people. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff ensured risks of a closed culture were minimised. People’s quality of life was enhanced by the service’s culture of transparency, respect, improvement and inclusivity.
Staff placed people’s wishes, needs and rights at the heart of everything they did.
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 18 May 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.