About the service North London and Herts Community Support is a supported living service providing personal care to people with a learning disability. This service provides care and support to people living in two 'supported living' settings and people living in an ‘extra care’ 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. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
At the time of inspection, seven people were receiving personal care.
People’s experience of using this service and what we found
People had support to follow their own chosen lifestyles and daily routines. Staff supported them with their health needs, personal care needs and supported them to improve their independence.
Relatives were satisfied that their loved ones received good care and were happy with this service.
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.
Staff were trained to deliver care and support and had received training that reflected the needs of the people they were supporting. We observed staff interacting with people. People were comfortable around staff and staff were aware of people’s individual communication styles.
The service worked well with health and care professionals to meet people's care needs. Medicines were managed safely.
The provider had an effective system in place to check that the service was running safely and meeting people’s needs. The registered manager was committed to continuous learning, aware of improvements needing to be made and had planned to ensure these improvements were made. There was an open culture in the service where people were happy to make suggestions and raise concerns and where staff enjoyed working.
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.
Right support:
• People were given choice and control in a supported way. For example, staff observed people to see what was important to them and offered a choice of new activities to see what people liked and disliked.
Right care:
• The management team were committed to delivering person-centred care and were planning to train staff to ensure a more person centred service was established.
Right culture:
• Staff formed relationships with people they supported and encouraged them to make decisions for themselves.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 11/12/2019 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.