Updated 19 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One adult social care inspector carried out the inspection.
Service and service type:
This service provides care and support to people living in their own homes and in one ‘supported living’ house. 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 service also provides personal care to individual people living in their own homes. At the time of the inspection it was providing care and support to nine people.
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
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 24 hours’ notice of the inspection visit to be sure the registered manager, staff and people they supported would be available to speak with us.
What we did:
Inspection site visit activity took place between 02 and 16 May 2019. We visited the office location on both the 03 and 16 May April 2019 to see the manager and office staff; and to review care records and policies and procedures.
Before our inspection we completed a planning tool and reviewed the information we held on the service. This included notifications we had received from the provider, about incidents that affect the health, safety and welfare of people supported by the service. As part of the inspection we used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the local authority and professionals who work with the service.
We visited a supported living house for three people and visited one person in their own home. We made telephone calls to people receiving a service and their relatives. During the inspection, we spoke with four people who used the service and two of their relatives.
We also spoke with the manager and four members of support staff. We looked at four people's care records and a selection of medication administration records. We looked at other records including quality monitoring records, five recruitment files and a training matrix for all staff.