We carried out a review of the data available to us about 153 The Parade 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 153 The Parade, you can give feedback on this service.
153 The Parade provides personal care to people living in supported living locations in the local community. The service is registered to provide care and support for younger adults who may have a learning disability, Autism and or a physical disability. At the time of this inspection five people were receiving personal care.
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.
People’s experience of using this service and what we found
People’s relatives were happy with the care and support they received. They told us the care provided was safe and supported people’s independence. There were systems in place to help make sure people were protected from the risk of abuse. Staff were aware of safeguarding procedures and understood how to protect the people they supported. Staff knew how to provide safe care and how to mitigate the associated risks around people’s health needs. People’s medicines were given to them when required and people were protected from the risk of infection through robust infection prevention processes.
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.
Staff and relatives were positive about the management team. Since the last inspection in January 2020 the provider's quality assurance systems and processes had been reviewed and were effective with a focus on continuous improvement. Staff and relatives felt involved in developing and improving the service and that managers listened to their views.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture reviewed at this inspection. This was because we found the ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives.
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 required improvement (published 04 March 2020) and there were two breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected.
This was a planned inspection based on the previous rating.
We carried out an announced comprehensive inspection of this service on 20 January 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 153 The Parade on our website at www.cqc.org.uk.
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.
153 The Parade is the head office for Protea care providing a regulated activity of personal care to people living in supported living locations in the community. The service is registered to provide care and support for younger adults who may live have a learning disability Autism and or a physical disability. At the time of this inspection 7 people were receiving personal care.
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.
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.
There were quality assurance systems and processes in place however they had not been effective in identifying the issue around the management of people’s finances. The provider and operations manager had developed and strengthened the quality assurance procedures to ensure they were much more robust and enabled them to have improved oversight of all aspects of the service.
People’s experience of using this service and what we found
We received mixed feedback in relation to peoples experience of the service. The people who used the service were unable to provide verbal feedback.
Staff were aware of how to identify and report when people may be at risk of abuse. Risks to people’s safety and welfare were assessed and if any risks identified, measures were put in place to help reduce and mitigate risk. People’s medicines were safely managed and administered when required. Staff followed good practice guidance to help reduce the risk and the spread of infection.
Staff received regular training, individual supervision and team meeting and felt supported in their roles. People were supported with shopping and meal preparation where required. People were supported to attend health appointments and to access healthcare professionals when required. Consent to care was obtained and staff were aware that people had the right to make their own decisions and respected this.
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's relatives told us they felt the staff were kind and caring and that overall, they were well cared for. People’s privacy and dignity was respected and promoted. People confidential information was stored securely to ensure information and records were protected and remained confidential.
People's needs were assessed before they began to use the service and care plans were developed from this information. Care plans were kept under regular review and updated when peoples need changed. People's relatives were aware of how to raise concerns to the management team.
People's relatives and staff members told us since the management arrangements had changed notable improvements had been made across the service. Staff told us the operations manager had fully supported the service in the interim. The provider confirmed they were in the process of recruiting a new manager for the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the first rating for this service based on the date of registration.
Why we inspected
This was a planned inspection based on the date the service was registered.
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.