Priory Supported Living Hull & East Riding

Updated 15 May 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 service provides care and support to people living in five ‘supported living’ flats so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. The 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 Kingfisher received regulated activity; the CQC only inspects the service received by people provided with 'personal care'. This includes support with tasks related to personal hygiene and eating. In these circumstances, we also take into account any wider social care provided.

This was a comprehensive inspection that looked at whether the service was safe, effective, caring, responsive and well-led.

This inspection took place on 20 March 2018, was carried out by two adult social care inspectors and was announced. We gave 48 hours notice because this is a small service where one member of staff is present. This short notice period allowed management to attend who are based at another location.

Before the inspection the provider completed a Provider Information Return (PIR), which contained information about the service and how the provider planned to develop it. We reviewed the PIR along with other information we held, including statutory notifications, which the provider had submitted. Statutory notifications contained information about important events which took place at the service, for example, safeguarding incidents, which gave us information about how incidents and accidents had been managed.

We spoke with the local safeguarding team and the local authority contracts and commissioning team to gain their views on the service.

During the inspection we observed how staff interacted with people who used the service when they visited the office and used the internal telephone system to call staff in the office. We spoke with one person who used the service because only one person received a regulated activity. The registered manager was unable to attend the inspection so we spoke with the deputy manager and the two members of staff who provided support to the five people who used the service.

During the inspection, we reviewed one person’s care plan and medication administration record. We looked at two staff files and their training and supervision records. We looked at a selection of documentation relating to the management and running of the service. These included minutes of meetings with staff and people who used the service, quality assurance audits, complaints and maintenance records.

Updated 15 May 2018

Kingfisher is registered to provide supported living for up to five adults with mental health needs. The service offers support to enable people to make the transition from rehabilitation placements to full independent living and social inclusion. There is an office on site and five individual flats where residents have their own tenancy.

At our last inspection, we rated the service as good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were supported by suitably qualified and skilled staff to meet their needs. Staff received regular training and supervision to support them in their role. Staff felt supported by management and there were systems in place to ensure communication between one another. No new staff had been employed since the last inspection, however we saw that the two current staff had received appropriate recruitment checks before starting employment to ensure they were appropriate for the role.

Staff supported people to manage their medication safely and encouraged independence with this.

Staff supported people to maintain their physical and mental health needs, and involved health professionals when required. People were encouraged with activities of daily living such as shopping and meal preparation to enable them to maintain a healthy diet.

Staff had received safeguarding training and were aware of how to recognise and respond to risk. Individualised risk assessments were in place and people were supported with positive risk-taking in order to maintain their independence, choice and control.

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 to make their own decisions and consent was gained before care or support was provided.

Staff were caring and understood the importance of confidentiality and respected people’s privacy. People were supported to be independent and were treated with respect. People were involved in care planning and attended regular reviews of their care.

No complaints had been received since the last inspection but systems were in place for responding to these if they were received. Systems were in place to assess, monitor and improve the quality and safety of the service. The service worked in partnership with other professionals and services when accessing support for people who lived there.

The registered manager was aware of their responsibility to inform CQC of notifiable incidents and these were sent appropriately.

Further information is in the detailed findings below.