Background to this inspection
Updated
3 July 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. 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 Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Extra Care Housing:
This service provides care [and support] to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is [bought] [or] [rented] and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care [and support] service.
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. However the registered manager was in the process of deregistering with CQC and the manager (referred to as ‘the manager’ in the report) had applied to become the registered manager.
Notice of inspection
This inspection was unannounced.
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We looked at information about the service including notifications and any other information received from other agencies such as the Local Authority. Notifications are information about specific important events the service is legally required to report to us. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and one relative about their experience of the care provided. We spoke with six members of staff including the manager, senior operations manager and four care staff.
We reviewed a range of records. This included four people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection –
We spoke with a healthcare professional who regularly visited the service. We took their feedback into account when we made our judgement about this service.
Updated
3 July 2019
About the service
Creative Support – Napton House is registered to provide personal care to adults with learning disabilities, autism or autistic spectrum disorders. Care and support was provided to people at prearranged times in a specialist ‘extra care’ housing service so each person had their own flat. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building.
Each person has their own individual tenancy agreement and is the occupant’s own home and Creative Support provides their care package. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of inspection visit, five people received personal care as part of their support.
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
People felt safe. Systems protected people from the risk of abuse and harm. Medicines were managed safely.
Staff had the training and knowledge to effectively meet people’s healthcare needs.
People were treated with dignity and respect and were encouraged to maintain their independence. Staff showed warm and caring attitudes to the people that they supported.
The care and support people received reflected their personal needs and preferences.
People were supported to access appropriate professionals and services to ensure care remained responsive to their individual needs.
Processes were in place to monitor and improve the quality of the service, there was a culture of openness and of reflection and learning from any reported incidents.
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; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 9 August 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.