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Kisharon Supported Living Good

Inspection Summary


Overall summary & rating

Good

Updated 14 February 2019

This inspection was announced and took place on the 24th and 25th October 2018. During our last inspection in November 2017 we found the provider to be in breach with Regulation19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Fit and proper persons employed. We found that the recruitment checks of prospective staff were not always sufficiently comprehensive and timely. This meant that people who used the service could not be confident that staff employed were suitable and safe to support them. The service sent us an action plan in January 2018 and told us that they had taken appropriate actions to address the breach and ensure that on all staff working with people who used the service had appropriate recruitment checks. During our inspection we found that the provider had taken the necessary steps to ensure safe recruitment practices were followed and all required recruitment checks were carried out prior to offering employment.

Kisharon Supported Living Services provides specialised care and support to adults from the Jewish community with learning disabilities and autism. People live in their own houses and flats in the community and in three 'supported living' settings, so that they can live on their own as independently as possible. Kisharon Supported Living Services provides person centred care with the aim for people to become part of the communities in which they live. During the day of our inspection 19 people received personal care in the three supported living settings in their own flat and seven people received the regulated activity in their own or shared flat.

People's care and housing are provided under separate contractual agreements. Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people's personal care and support.

Not everyone using Kisharon Supported Living receives a regulated activity. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had 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.

People's potential was recognised and valued. There were many good examples of schemes in how to involve people who use the service in community-based activities, including work schemes, voluntary and paid, to include people who used the service in the community and support people to gain greater independence and feel less isolated.

Staff were motivated and had pride in their work. They talked about people in a way which demonstrated they wanted to support them as much as possible and provide the best standards of care possible for everyone. Each person in receipt of care had supportive relationships with the members of staff in the team that supported them, and this had a positive impact on their overall health and wellbeing. It was clear that staff and people had similar interests, and this added to their commonality and helped develop their relationships and understanding of each other.

People and their relatives told us that they felt safe while they received support from staff at Kisharon. Staff understood their responsibilities to protect people from abuse and avoidable harm and to remain safe. There were procedures in

Inspection areas

Safe

Good

Updated 14 February 2019

The service was safe. People were protected from abuse and avoidable harm by staff who knew their responsibilities for supporting them to keep safe.

There were a sufficient number of staff to meet people's support requirements. Staff had been checked for their suitability prior to starting work.

Checks had been completed on equipment and the environment to make sure it was safe.

People received their prescribed medicines from staff who were trained to administer these.

Staff followed safe infection control procedures.

Effective

Good

Updated 14 February 2019

The service remains Good.

Caring

Good

Updated 14 February 2019

The service was caring. There was a positive and vibrant culture throughout the service which came from the providers themselves.

People, relatives and staff gave positive feedback about the caring approach of staff and the providers.

Staff were motivated and had developed deep meaningful, but professional relationships with the people they supported.

People were actively encouraged and supported to maintain relationships with family and friends.

Staff supported people to become as independent as possible.

Privacy and dignity were respected, protected and promoted throughout the service at all levels.

Responsive

Outstanding

Updated 14 February 2019

The service remains Outstanding. The service maintained and made further significant improvements to their exceptional work in supporting people to gain greater independence, find suitable and meaningful employment and be part and fully integrated in the community.

Well-led

Good

Updated 14 February 2019

The service was well led. Staff were supported by the management team and understood their responsibilities.

People, their relatives and staff had opportunities to give suggestions about how the service could improve.

The locality manager was aware of the responsibilities of a registered manager.

Checks were in place to monitor the quality of the service.