About the service Priory supported living Lancashire is a Domiciliary care service providing personal care, supported living for one person in their own home.
People’s experience of using this service and what we found
Medicines were mainly managed safely, medication records had been completed and staff had undertaken the relevant training. Where the key had been left in the medication cupboard the registered manager took action to ensure these were stored safely. We made a recommendation about this.
Staff were recruited safely, and there was sufficient numbers of staff to support the needs of the person. Policies and guidance was in place to protect people from abuse, and staff knew what to do if abuse was suspected. Fire risk assessments and personal evacuation plans had been completed.
People received good care, their individual needs, choices and independence was supported. Care records contained information about individual needs and how to support them. How to communicate effectively with the person had been considered and, an activities programme was in place. Staff told us the activities provided had improved since the COVID-19 lockdown. A system to deal with complaints had been considered.
Team meetings were taking place and staff surveys had been completed. Continuous learning and improving care was supported. People were complimentary about the registered manager, he was open and transparent during the inspection. We saw copies of audits undertaken, where these had not been completed in full recently, the registered manager took immediate action to ensure these had been done.
Staff had received relevant training to support them in their role. Professionals had been involved in the health care needs of the person. 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.
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. The service supported the persons choices in daily life and their decisions. The registered manager and the staff team clearly knew the persons needs and supported them to be involved in making choices in their day to day life.
We undertook this inspection at the same time as CQC inspected a range of urgent and emergency care services in Lancashire and South Cumbria. To understand the experience of social care providers and people who use social care services, we asked a range of questions in relation to accessing urgent and emergency care. The responses we received have been used to inform and support system wide feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection to provide a rating for the service.
Rating at last inspection
This service was registered with us on 05 August 2021 and this is the first inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement and Recommendations
We have made a recommendation about the safe storage of medicines.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.