Background to this inspection
Updated
22 December 2021
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
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in one ‘supported living’ setting, 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 registered manager. 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'. They and the registered provider have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Notice of inspection
This was an announced inspection. We gave the registered manager 24 hours’ notice because it is a small service and we needed to be sure that the registered manager or responsible individual would be in the office to support the inspection.
Inspection activity started on 29 November 2021 and ended on 1 December 2021. We visited the office location on 29 November 2021.
What we did before the inspection
We reviewed the information we already held about the service. This included the last inspection report and notifications. A notification is information about important events, which the provider is required to tell us about by law.
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.
During the inspection, we spoke with the registered manager, the responsible individual who was the provider of the service and a senior support worker. We spoke with two people who used the service when we visited them.
We viewed documents and records that related to people’s care and the management of the service. We looked at two care plans and staff training records. We also viewed documents relating to quality assurance, medicine management, recruitment and infection control.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We spoke with one relative for their feedback about the service.
Updated
22 December 2021
About the service
Paramount Support Centre provides personal care to people with learning disabilities and/or autistic people in a supported living service. The service can support up to four people and at the time of the inspection, two people were using the service. People lived in a shared house in a residential area.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, Right care, Right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• People had choice and control of how their care and support was delivered to them. They were supported to live as independently as possible in their own home.
Right care:
• Staff supported people with their personal care and respected their dignity and privacy. People’s equality characteristics were understood.
Right culture:
• Managers and staff had positive attitudes and values which helped to encourage people to feel empowered in their daily lives.
People were safe using the service. Staff were trained in safeguarding people from the risk of abuse. Risks to people were assessed and measures were in place to mitigate them. There were enough staff to support people in their own home. Staff were recruited appropriately and were safe to work with people. Accidents and incidents were reviewed and analysed to learn lessons. Procedures to prevent and control the spread of infections were in place.
Staff received training and supervision to maintain their skills and aid their development. People were supported to maintain a healthy diet and attend healthcare appointments. 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.
Care plans were developed to meet the needs and preferences of people. However, we made a recommendation for the provider to follow best practice on making care plans more person-centred.
People got on well with staff and they communicated with each other effectively. People were supported to pursue their interests and maintain relationships to help avoid social isolation. There was a complaints process for people and their relatives to use. People’s communication needs were understood and met. Feedback was sought from people and relatives to help make continuous improvements to the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection, the service was inspected but not rated (report published 24 December 2020) because we carried out a targeted inspection that looked at specific areas.
Why we inspected
This was a planned inspection to look at all five key questions and provide the service with its first rating since registering with us on 15 July 2019.
Follow up
We will continue to monitor information we receive about the service. If we receive any concerning information we may inspect sooner.