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Shine Supported Living - South East Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 January 2020

About the service

Shine Supported Living - South East is a supported living service registered to provide personal care. The service provided care and support to four people with a learning disability or other complex needs living in supported living' settings, so that they can live in their own home as independently as possible. Not everyone who used the service received 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. Two people were in receipt of personal care when we visited.

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 management of risk around people’s health was not consistently safe. Management of constipation and risks associated with choking and falls were not well managed. The service relied on a high number of agency staff who may not support people for a number of days. Information was not robustly handed over and documentation did not record important information to share with staff. Although accidents and incidents were recorded and analysed for trends and patterns, action was not always taken to prevent repeated incidents. Lessons were not always learnt or embedded.

Staff did not always have reliable information to refer to when supporting people. Support plans contained duplicated information, staff found them difficult to navigate through and some important information was missing. Recommendations from healthcare professionals were not always acted on, meaning people did not always receive effective person-centred care.

Communication between staff needed to improve so important information relating to people was not missed. The provider and registered manager had failed to identify the concerns we found at this inspection around management of constipation, choking, and falls. The provider had failed to ensure ratings were conspicuously displayed on their website. Although some agency staff worked frequently at the service, they did not receive any formal supervision and were not engaged in meetings or other ways to provide feedback.

People received their commissioned hours of support. There was a safeguarding policy in place and staff said they were confident any concerns would be dealt with if raised. Medicines were managed safely. Before people were offered a service, the registered manager conducted assessments to ensure needs could be met and staff had the right training. People were supported to eat and drink and maintain a healthy weight. People were supported to visit health apportionments with healthcare professionals.

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. 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.

We observed staff talking to people in a kind and respectful way. People diversities were assessed and supported. People were supported to go on outings and participate in activities they enjoyed. Consideration had been given to how information was presente

Inspection areas

Safe

Requires improvement

Updated 11 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 11 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 11 January 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 11 January 2020

The service was not always well-led.

Details are in our well-Led findings below.