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 planned this inspection to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

One inspector carried out the inspection.

Service and service type

Head Office is registered to provide domiciliary care and a supported living service. Head office. Services provide supported living services including personal care and support to people with a learning disability, autistic spectrum disorder or a mental health condition. 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.

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.

Notice of inspection

We carried out the inspection visit on 25 February 2019. It was announced . We told the provider two days before our visit that we would be coming. We did this because the manager is sometimes out of the office supporting staff or visiting people who use the service. We needed to be sure that they would be available at their office.

What we did

Before the inspection visit we looked at information we held about the home and used this information as part of our inspection planning. The information included notifications. Notifications are information on important events that happen in the home service that the provider is required by law to let us know about.

During our inspection we observed how the staff interacted with the person who lived at the service. We spoke with one relative as the person using the service was unable to speak to us. We spoke with the registered manager and one support worker.

We looked at one person’s care records as well as other records relating to the management of the home.

We contacted the local authority contract monitoring team who commission a service from this home.