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Inspection carried out on 10 July 2019

During a routine inspection

About the service

Richmond Supported Living is a service which provides care for eight people living in a supported living environment. This is a large house which has been converted into eight flats. People supported have physical and mental health needs and learning disabilities.

Not everyone who uses 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. Five people were supported in relation to personal care.

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 can 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

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.

Staff were caring in their approach and had good relationships with people. Promoting independence was a key part of the service and people were supported to improve their daily life skills.

There were enough staff to ensure people were safe. Where risks associated with people's health and wellbeing had been identified, plans were in place to manage those risks while ensuring people could remain independent.

Staff understood their responsibility to safeguard people from harm and knew how to report concerns.

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; systems supported this practice.

People received care which was responsive to their individual needs. Staff were matched with people and had a good understanding of how to support them well.

Care was recorded electronically and provided staff with information in relation to people’s backgrounds, interests and individual needs.

The provider ensured care was based upon good practice guidance to help ensure people received an effective service.

Staff encouraged people to maintain a balanced diet and respected their individual choices. The provider and staff team worked closely with external healthcare professionals to ensure people's health and wellbeing was maintained.

There was no registered manager in post. A new manager had started and was in the process of applying for registration with us.

Positive feedback was received in relation to the management of the service. People, staff and professionals had opportunities to feedback about the running of the service.

Quality checks were carried out to monitor the service, and these identified where improvements could be made.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was rated as Good (published in September 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 7 September 2016

During a routine inspection

We carried out this inspection on 7 September 2016. We told the provider we were coming 48 hours before the visit so they could arrange for people and staff to be available to talk with us about the service.

Richmond Supported Living is a service which provides personal care support to people with learning disabilities or physical disabilities in their own homes. There are eight flats and at the time of our visit, six people lived at the service. Support staff are based on site 24 hours a day.

The service has a registered manager. 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. A registered manager was in place and had been since October 2014 when the service opened. We have referred to them as the manager in this report.

People told us they felt safe using the service because support workers were skilled and knowledgeable, and knew how to care for them well. Support workers had a good understanding of what constituted abuse and who to contact if safeguarding concerns were raised.

Checks were carried out prior to support workers starting work to ensure their suitability to work with people who used the service. Support workers received an induction to the organisation, and a programme of training to support them in meeting people’s needs effectively.

Staff understood the principles of the Mental Capacity Act (2005), and gained people’s consent before they provided personal care support.

People who required support had enough to eat and drink during the day and were assisted to manage their health needs. Support workers referred people to other professionals if they had any concerns.

People had consistent support worker teams who they were familiar with and who provided support as outlined in their care plans. There were enough staff to care for people they supported and bank staff were used when required.

People told us support workers were kind and caring and had the right skills and experience to provide the care they required. People were supported with dignity and respect. Support workers encouraged people to be independent and the focus of the service was to develop people’s skills and confidence further.

Care plans contained relevant information for support workers to help them provide personalised care including processes to minimise risks to people’s safety. People received their medicines when required from staff trained to administer them.

People knew how to complain and had opportunities to share their views and opinions about the service they received. This was through regular review ‘team’ meeting and also surveys.

Support workers were confident they could raise any concerns or issues with the manager knowing they would be listened to and acted on. People and staff told us the management team were effective and approachable.

The management team gave support workers formal opportunities to discuss any issues or raise concerns with them. There were some processes to monitor the quality of the service provided. These checks and audits ensured support workers worked in line with policies and procedures.