Background to this inspection
Updated
9 November 2022
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in two ‘supported living’ settings, so that they can live as independently as possible. 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.
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
We gave the service 24 hours’ 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.
Inspection activity started on 10 August 2022 and ended 18 August 2022. We visited two supported living locations on 10 August 2022 and spoke with staff by telephone on 18 August 2022.
What we did before the inspection
We reviewed information we had received about the service. 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.
We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at one person's care and support plan and medicines records. We observed interactions between people and staff. We looked at staff files including recruitment and supervision records. We also looked at numerous other documents relating to the running of the service.
Updated
9 November 2022
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.
About the service
Head Office – The Grove (CareForYou Ltd) provides care and support to people living in two supported living accommodations. The supported living accommodations comprised of two terrace houses with a rear garden. Each person had their own room with access to washing facilities, some people had en-suite facilities. The service worked with people with a mental health condition and some people may have a learning disability. At the time of the inspection the service was supporting one person that received a regulated activity.
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 experienced a good quality of care with good outcomes. There were enough staff to meet people’s care and support needs. Staff had training in safeguarding and knew how to report any concerns. People’s risks were clearly assessed, and clear guidance given to staff to minimise risks. People were supported to manage and take their medicines safely and on time. Staff were recruited safely. There were systems in place to ensure staff were safe to work with vulnerable people.
People were involved in their needs’ assessments prior to moving into the service. Pre-admission assessments of their needs and preferences meant the service was confident they would be able to meet people’s care and support needs, whom they had offered to 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. Staff received good support from the management team through regular supervisions and staff meetings. People were supported to maintain a balanced diet. Where people had specialist diets, this was understood, and staff knew how to support people.
People were treated well. We observed warm and caring interactions between people and staff. Staff understood the importance of promoting people’s independence.
People’s care plans were person centred and reflected how people wanted to receive their care. People’s communication needs were clearly explored and documented. People were supported to maintain contact with people who mattered to them. Where identified, staff also supported to take part in activities that were meaningful to them. There was a clear complaints procedure in place and people had been provided with information on how to complain.
There was an open culture at the service. People were encouraged to be partners in planning their care and support. Staff were complimentary of the registered manager and the support they received. The registered manager was approachable and made time to speak with people and staff. People and healthcare professionals were encouraged to give feedback on the service. There were regular staff meetings where staff were able to raise any queries or questions they had. The service worked in partnership with other healthcare agencies to promote people’s mental and physical wellbeing.
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 05 October 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.