Updated 15 May 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This service provides care and support to people living in five ‘supported living’ flats so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living. This inspection looked at people’s personal care and support. Not everyone using Kingfisher received regulated activity; the CQC only inspects the service received by people provided with 'personal care'. This includes support with tasks related to personal hygiene and eating. In these circumstances, we also take into account any wider social care provided.
This was a comprehensive inspection that looked at whether the service was safe, effective, caring, responsive and well-led.
This inspection took place on 20 March 2018, was carried out by two adult social care inspectors and was announced. We gave 48 hours notice because this is a small service where one member of staff is present. This short notice period allowed management to attend who are based at another location.
Before the inspection the provider completed a Provider Information Return (PIR), which contained information about the service and how the provider planned to develop it. We reviewed the PIR along with other information we held, including statutory notifications, which the provider had submitted. Statutory notifications contained information about important events which took place at the service, for example, safeguarding incidents, which gave us information about how incidents and accidents had been managed.
We spoke with the local safeguarding team and the local authority contracts and commissioning team to gain their views on the service.
During the inspection we observed how staff interacted with people who used the service when they visited the office and used the internal telephone system to call staff in the office. We spoke with one person who used the service because only one person received a regulated activity. The registered manager was unable to attend the inspection so we spoke with the deputy manager and the two members of staff who provided support to the five people who used the service.
During the inspection, we reviewed one person’s care plan and medication administration record. We looked at two staff files and their training and supervision records. We looked at a selection of documentation relating to the management and running of the service. These included minutes of meetings with staff and people who used the service, quality assurance audits, complaints and maintenance records.