Background to this inspection
Updated
30 July 2019
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 carried out by one inspector and an assistant inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own home. The service had a manager registered with the Care Quality Commission. This means that they and the provider are 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 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 and we could speak with people. Inspection activity started on 28 June 2019 and ended on 2 July 2019. We visited the office location on 28 June 2019.
What we did before the inspection
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 took this into account when we inspected the service and made the judgements in this report. Prior to the inspection we reviewed information we held about the service since the last inspection. This included information about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We used all this information to plan our inspection.
During the inspection
During the inspection we spoke with three people, two care staff, the service director and the registered manager. We reviewed a range of records. This included the records for three people being supported and records relating to the management of the service.
Updated
30 July 2019
About the service
Integra Supported Housing is registered to provide personal care to people living in their own with a learning disability. On the day of the inspection, four people were receiving support.
People’s experience of using this service and what we found
People received support that was safe. The registered manager ensured care staff knew how to keep people safe from harm. Recruitment systems were in place to ensure appropriate staff could support people safely. Where people needed support with medicines this was done as it was prescribed and care staff received training in infection control, so they would know how to ensure they followed appropriate infection control procedures. Systems were in place to monitor trends where accidents or incidents had taken place.
People received effective care. People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Care staff were supported so they had the knowledge and skills to meet people’s needs. People made their own decisions as to what they had to eat and drink and care staff supported them to do so. Care staff were available to support people to access healthcare as required and in an emergency.
People received support that was caring and kind. People were supported how they wanted and care staff respected people’s privacy, dignity and independence.
People received support that was responsive to their needs. Care plans were in place to show how people wanted to be supported. A complaints process was in place, so people could share any concerns they had.
The service was well led. The culture in the service was open, empowering and inclusive. Communication standards encouraged people to share their views and spot checks took place to ensure service quality.
Rating at last inspection:
Rated Good (Report published 23/08/2016).
Why we inspected
This was a planned comprehensive inspection.
Follow up
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk