Archived: Consensus (2013) Limited - Redan Street

Updated 4 February 2020

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

This inspection was undertaken by one inspector.

Service and service type

Consensus (2013)- Redan Street 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.

The service had a manager registered with the Care Quality Commission. They were also the provider. This meant they were legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or a member of their management team would be in the office to support the inspection.

Inspection site visit activity started on 26 November 2019 and ended on 18 December 2019 when we gave feedback. It included a visit to the office location on 26 November 2019 and to one of the two supported living locations on the 27 November 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We met with three people who used the service. People could not always readily tell us about their experiences. We observed the way people interacted with the management team and staff.

We spoke with the registered manager, two of the provider’s regional managers who supported the service and three care staff.

We received electronic feedback from two relatives about their experience of the service provided, two members of staff and two professionals involved with the service.

We reviewed a range of records. This included three people’s care records. We looked at three staff files in relation to recruitment and staff supervision. We also looked at a variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 4 February 2020

About the service

Consensus (2013) Limited – Redan Street is a domiciliary care service providing personal care to people with a learning disability and complex needs who live in two supported living environments, where staff support is available up to 24 hours per day. At the time of the inspection there were six people who used the service.

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.

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

People were supported by caring staff that knew them well and understood how to support them to achieve their potential. Care was person-centred, individualised and regularly reviewed. People’s rights to independence, dignity and privacy were promoted and respected.

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.

Where people required support with their dietary needs, health and their medicines, this was done effectively. Infection control processes protected people from the risks of cross infection.

There were enough staff safely recruited, trained and supported appropriately in their roles to care and meet people’s needs.

Risks to people were assessed and mitigated, which reduced the risks. Staff were knowledgeable about people’s risks and how to care for them safely. They understood how to protect and safeguard people and demonstrated a transparent attitude to reporting concerns.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

There were robust systems in place to assess and monitor the service provided. People’s views were sought, and these were used to drive improvement. There was a complaints procedure in place.

Rating at last inspection

The service was registered with us 27 June 2016 and was dormant for a period of time. This is the first inspection.

Why we inspected

This was a planned inspection based on a new service.

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.

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