Updated 4 January 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.
Following the last inspection, we asked the provider to make improvements in effective and well led to at least good. At this inspection we found that the improvements had been made because when people were unable to consent decisions were made in their best interest and there were systems in place to monitor and improve the quality of the service.
15 School St provides care and support for two people living in a ‘supported living’ setting, so that 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.
The people who live at 15 School St have learning disabilities and 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.
We used information we held about the service and the provider to assist us to plan the inspection. This included notifications the provider had sent to us about significant events at the service. We also used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We produced an inspection plan to assist us to conduct the inspection visit.
One inspector completed this inspection on 6 November 2017. We announced it and gave the provider one days’ notice. This was to ensure that we could visit people in their home at a convenient time and to make sure staff were available to speak with us. People who lived at the home had limited levels of verbal communication to be able to give us their feedback of the care they received. Therefore, we observed the interaction between people and the staff who supported them throughout the inspection visit. We also spoke with one relative about their experience of the care that the people who lived at the home received.
We spoke with the registered manager, two deputy managers, and one member of care staff. We reviewed care plans for two people to check that they were accurate and up to date. We also looked at the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement; for example, audits and development plans. We also looked at two staff recruitment files.