Promise House

Updated 13 April 2023

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 carried out by one inspector.

Service and service type

This service provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service two days’ notice of the inspection. This was because it is a small service and we needed to be sure that a member of the management team would be in the office to support the inspection.

Inspection activity started on 01 March 2023 and ended on 15 March 2023. We visited the registered location on 14 March 2023.

What we did before the inspection

We reviewed information we had received about the service since they registered with CQC. We used all of this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with 3 people who used the service about their experience of their care and support. We spoke with 4 staff members including the manager, deputy manager and support workers. We reviewed a variety of records including 3 people’s care records and 2 people’s medication records. We looked at 3 staff files in relation to recruitment, staff training and support, and records relating to the management of the service including quality audits and policies and procedures.

Updated 13 April 2023

About the service

Promise House is an extra care service registered to provide personal care support for younger adults and older people, living with mental ill health support needs, dementia, physical and or learning disabilities. Accommodation is provided in 10 individual adapted apartments with shared facilities, including a communal lounge, games room, cinema room and outdoor gym.

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. Not everyone who used the service received personal care. At the time of our inspection the service supported 10 people. Three of those people were in receipt of personal care.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not provide care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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. Risks to people's health, safety and well-being were effectively managed. Staff followed good infection prevention and control practice and people received the support they need to take their medicines as prescribed. When needed people were supported to access health and social care professionals. The management and staff team worked in partnership with other professionals to achieve good outcomes for people. People felt safe when receiving support from staff with whom they had developed meaningful relationships.

Right Care

People’s needs were met through the delivery of care and support tailored to meet their needs and preferences. People's needs were assessed prior to them using the service to ensure these could be met. People were actively involved in planning their care and they received support at their chosen time, for the agreed duration from staff they knew. Staff respected, and their practice promoted and upheld people’s rights. Staff felt valued and supported by the management team and experienced high levels of job satisfaction. People’s preferred methods of communication were known and respected by staff.

Right Culture

The manager led by example. They promoted an open and inclusive culture which had created a welcoming, warm, and friendly atmosphere. People and professionals spoke positively about the way the service was managed and the quality of service provided. Effective systems continually monitored and improved the quality and safety of the service. Action was taken to ensure the provider’s policies and procedures were personalised to the service. Staff were recruited safely and received the training, support, and guidance they needed to fulfil their roles. The manager had developed positive relationships and effective communication systems with people, staff and other professionals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

This service was registered with us on 24 September 2020 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date the service was registered with us.

Follow up

We will continue to monitor information we receive about the service , which will help inform when we next inspect