Background to this inspection
Updated
22 August 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 was completed by one inspector.
Service and service type
The service was designed to provide personal care to people with learning disabilities. At the time of inspection this was through domiciliary care in one person’s own home and through supported living for one other person. In supported living arrangements 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.
Notice of inspection
We gave the service 4 days’ 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
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we held about the provider from their registration, including their statement of purpose. We used this to assist us to plan our inspection.
During the inspection-
We spoke with the nominated individual, the registered manager and two care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider We met one person who used the service and although they were not able to tell us their experience of the support they receive we did observe their interaction with the registered manager.
We looked at the care records for two people and records in relation to the management of the home such as quality assurance checks, staff training and recruitment records.
After the inspection –
We spoke with one relative by telephone.
Updated
22 August 2019
About the service
Choices Progression - Head Office provides personal care to people with learning disabilities in their own home or through supported living. At the time of our inspection two people were using the service, one through supported living and the other receiving personal care in their family home. The supported living property had a sleep-in room for staff providing overnight 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 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.
People were safe in their homes and staff understood how to protect them from harm and abuse. Risks to individuals were assessed, monitored and reviewed, and there were enough staff to meet people’s needs. The provider followed safe recruitment practices. People’s medicines were managed safely when it was the provider’s responsibility to do so. People chose what they wanted to eat and drink.
People and their relatives were central to planning their support. They were enabled to make choices about their care, including participating in activities they enjoyed. They 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. Staff were developing a good understanding of people’s communication styles to assist them with this.
There were systems in place to monitor and assess the quality of care people received. The registered manager and provider showed a clear understanding about their responsibilities as registered persons.
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 24 September 2018 and this is the first inspection.
Why we inspected
This was a planned full comprehensive inspection to ensure that the service was meeting the regulations of the Health and Social Care Act 2008 and CQC.
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.