We carried out a review of the data available to us about Kestrel Park on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Kestrel Park, you can give feedback on this service.
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.
Legacy Supported Living provides care and support for people with a learning disability or autistic spectrum disorder, mental health and sensory needs and physical disabilities. The service provides care and support to people living in their own homes and flats in the community and '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. At the time of our inspection, the service was supporting four people, however only one person received support with personal care.
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 quality assurance systems and processes in place required strengthening to enable the provider to assess, monitor and improve the quality and safety of the service. The provider had not consistently implemented safe recruitment procedures and improvements were required to environmental risk assessments. The provider had not ensured that policies and procedures were in place for all necessary areas of the service. The provider took prompt action to rectify all the areas of concern identified during the inspection.
People’s medicines were safely managed. However, systems to assess staff competency in medicines administration required improvement. We have made a recommendation about medicines competency checks.
Staff mostly received the training they needed to provide people’s support appropriately and safely. We discussed with the provider action they could take to ensure staff received induction and training in line with best practice guidance. The provider sourced any additional training that staff needed to meet people’s needs. Staff were provided with supervision and were well supported by the provider.
There was no end of life care being delivered at the time of the inspection. However, the provider’s policies required further development to detail the support staff would provide to people in preparing for the end of their life.
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.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People's needs, and wishes were met by staff who knew them well. People were treated as individuals and were valued and respected. Staff ensured people's privacy and dignity was protected and spent time getting to know people. Staff worked creatively with people to maximise their independence.
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 provider actively sought feedback from people, their families and staff to continually look at ways to improve the service and was receptive to ideas and suggestions. People were supported to be an active member of their local community and the provider was passionate about engaging with people with learning disabilities in the wider community.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 14 May 2018, and this is the first inspection.
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.