Kestrel Park

Updated 6 April 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

The service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service provides care and support to people living within 3 ‘supported living’ settings, so that they can live as independently as possible. 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 72 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.

Inspection activity started on 7 March 2023 and ended on 13 March 2023. We visited the location’s office on 8 March 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person and 1 relative about their experience of the care provided. We spoke with the registered manager, a senior support worker and a support worker.

We reviewed a range of records. This included 1 person’s care and medication records. We looked at 2 staff files in relation to recruitment and supervision. We looked at a variety of records relating to the management of the service including quality monitoring, minutes of staff meetings and staff training.

Updated 6 April 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Legacy Supported Living is a domiciliary care and supported living service. The domiciliary care service provides care and support to people living in their own homes. The supported living service comprised of 3 properties, 2 houses which provided communal facilities, including a lounge, kitchen and bathroom, each person having their own bedroom; and a 2 bedroom flat which was a single dwelling. The houses and flat had a dedicated bedroom for staff to sleep on site as part of the 24 hour care support.

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. At the time of our inspection 2 people were receiving support with personal care.

People’s experience of using this service and what we found

Right Support:

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. People were involved and supported when safeguarding concerns were raised.

Staff supported people to achieve their goals to maintain and achieve greater independence and spoke passionately about the support they provided. Staff had a good understanding of people’s needs and how to respond and support people to maximise their wellbeing when they became anxious or distressed.

Right Care:

People received support so they could manage their medicines safely. People were involved in the development and review of their support plans. People’s support plans were personalised and provided information as to how they wanted staff to support them. People and relatives were positive about the support and care provided and the impact positive staff had on their wellbeing.

Right Culture:

The registered manager and staff had a clear vision as to the service they wished to provide. Systems and processes were in place to assess the quality of the service being provided, which included a range of audits. People’s views and those of others involved in their care were sought about the quality of the service and analysed. The registered manager had developed action plans to bring about improvement based on the outcome of audits and people’s views.

People were supported to be involved in staff recruitment, which included being part of the interview panel for prospective staff. Staff spoke positively of the support they received from the registered manager, which included regular meetings and supervision. Communication systems amongst all staff were effective to promote good quality care and support.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 15 February 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

At our last inspection we recommended that the registered manager referred to guidance to support with the assessment and recording of staff’s competence in medicine management. At this inspection we found the provider had acted on our recommendation and improvements had been made. Staff’s competency in medicine management had been assessed and included a written record.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from Requires Improvement to Good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Legacy Supported Living on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.