Background to this inspection
Updated
7 June 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 checked 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 inspection took place on 15 and 16 May 2018 and was announced. We gave the service 24 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff. We needed to be sure that they would be in.
The inspection was carried out by one adult social care inspector. We were able to visit the two people living at their supported living home.
We asked for information from the local authority before the inspection. We also looked at our own records, to see if the manager had submitted statutory notifications and to see if other people had sent us feedback on the service.
The provider completed a Provider Information Return (PIR). This is a form that asks the provider 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 two people at their supported living home. We also talked with five staff members including the registered manager.
We reviewed a range of documentation including two care plans, risk assessments, medication records, finance records, records for three staff, staff training records, policies and procedures, auditing records, health and safety records and other records relating to how the service is managed.
Updated
7 June 2018
This comprehensive inspection took place on 15 and 16 May 2018 and was announced. The last inspection was completed in July 2014 where we found the provider to be compliant with all of the regulations.
This service provides care and support to people living in one ‘supported living’ setting, this is so they can live in their own home 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. This service is also a domiciliary care agency however there were no people being provided with this service.
The care service has been developed and designed in line with the values that underpin the 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 a life as any citizen.
The service had a registered manager who had been in post since September 2014.
A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
There were currently two people provided with care and support from Select Support Partnerships Limited with three staff employed to support them at their support living home.
Care records and risk assessments were very informative, well-kept and up-to-date. Each person using the service had a personalised support plan and risk assessment. All records we saw were complete, up to date and regularly reviewed. We found that people and their relatives were involved in decisions about their care and support. There was an emergency continuity plan in all files looked at that would be used for example if the person was taken to hospital. The information was a summary of the care and support required and other relevant information. We also saw that medications were handled appropriately and safely.
We found that recruitment practices were in place which included the completion of pre-employment checks prior to a new member of staff working at the service and disciplinary procedures had been followed appropriately and in accordance with policies. Staff received a comprehensive induction programme regular training and supervision to enable them to work safely and effectively. There was also an up to date staff handbook that all staff were given and also staff were informed when there were any updates.
People's GPs and other healthcare professionals were contacted for advice about people’s health needs whenever necessary.
The provider had systems in place to ensure that people were protected from the risk of harm or abuse. We saw there were policies and procedures in place and training to guide staff in relation to safeguarding adults.
The service had quality assurance processes in place including staff questionnaire reviews and service user quality of care and support questionnaires. The service’s policies and procedures had been regularly reviewed by the provider and these included policies on health and safety, confidentiality, mental capacity, medication, whistle blowing, safeguarding and recruitment.
People told us they were happy with the staff and felt that the staff understood their support needs. The two people we spoke with had no complaints about the service. The provider had a complaints procedure in place and this was available in the ‘Service User Guide’ and in place at the home of the two people.