Background to this inspection
Updated
19 July 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. This inspection was planned 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: This inspection was carried out by one adult social care inspector.
Service and service type: Ena Hughes Resource Centre provides care and support to people living in their own homes in supported tenancies or within shared lives. People living in shared lives accommodation live in a home with one or more carers and their families.
The service had two managers registered with the Care Quality Commission. One manager for supported living and one manager for shared lives. 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 gave the service 48 hours’ notice of the inspection visit because we needed to be sure that staff would be in the office to support the inspection.
We visited the office location on 28 May 2019 to meet with the registered managers and management team; and to review care records and policies and procedures. We visited two shared lives occupancies and two supported living projects on 29 May 2019 to visit people at home and speak to carers and support workers. We also visited the ‘wellbeing service’ and spoke with people. We made calls to relatives on 30 May 2019.
What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority, clinical commissioning group (CCG) and other professionals who work with the service. We assessed the information we require providers to send us at least once annually, which is called a provider information return (PIR), to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection we met eight people to explore their experience of the care provided. We also spoke with four carers, four support workers, two registered managers, the director, the associate director, an operations manager, the autism lead and mental capacity lead. We also spoke with five relatives on the telephone and received feedback by email from another relative.
We reviewed the care plans and risk assessments for eight people, three staff recruitment files, the training matrix for all staff and a range of records relating to the management of the service.
Updated
19 July 2019
About the service: Ena Hughes Resource Centre is based in Oldham and provides care and support to people living in their own homes, either on an supported living basis, or as part of a shared lives scheme, where people lived with carers and their carer's families. People in receipt of care on a supported living basis usually received support from support workers 24 hours a day.
The care service had been developed and designed in line with the values that underpin Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary life as any citizen.
People’s experience of using this service: People’s care needs were assessed, and they received good quality person-centred care from carers and support workers who understood their needs well. Carers and support workers promoted people’s choice and independence and ensured they had access to a wide range of individualised activities. People were engaged and involved in the day to day running of their home. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible: the policies and systems in the service supported this.
Carers and support workers were caring. They were knowledgeable and received training, supervision and support to carry out their roles effectively. Carers and support workers were committed to providing person centred support and fulfilling opportunities for people.
Support workers used a variety of communication styles to ensure people’s wishes were heard and acted upon.
People and their relatives praised the standard of care in the various settings. People said they felt safe and there were enough support workers on duty. People and relatives said support workers and carers were kind and caring.
Not all the people in receipt of care could communicate with us verbally, but those who could told us they were happy with the support they received.
Medicines were managed safely, and people’s health needs were met.
The registered manager provided people with leadership and promoted an open and supportive team culture. Robust systems were in place to assess, monitor and improve the service. People’s views were welcomed on the running of the service. Carers and support workers told us there was an inclusive and relaxed atmosphere and they felt valued by the service.
More information is in the full report.
Rating at last inspection: At the last inspection on 10 & 11 October 2016 the service was rated good.
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in accordance with our re-inspection programme.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk