Background to this inspection
Updated
9 August 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.
This comprehensive inspection took place over two days on 09 and 10 July 2018. The inspection was announced and the provider was given 48 hours’ notice that we would be visiting the service. This was because the service provides a supported living service and we needed to ensure the provider, staff and people would be available to meet with us. The first day was spent with the nominated individual who is also the provider, staff and people using the service and the second day was used to make phone calls to relatives and professionals.
The inspection team comprised of one inspector. When planning our inspection, we looked at information we held about the provider. This included checking if we had any statutory notifications which are notifications about deaths, safeguarding alerts and accidents and incidents which they are required to send us by law. We also contacted the local authority and commissioners for information held about the service.
As part of the inspection process we spoke with three people who use the service, one relative, the nominated individual who was also the provider, two care staff and one professional. We looked at three people’s care records to see how their care and support was planned and delivered. We also looked at medicine records, staff recruitment and training files, policies and procedures and the provider’s quality monitoring systems.
Updated
9 August 2018
This announced inspection took place on the 09 and 10 July 2018. At our last inspection on 29 September 2016 we found that staff were unsure how to support people in line with the Mental Capacity Act 2005 and the provider did not have a culture of driving improvement. At this inspection we found the provider had made improvement to these areas. However, further improvements were required in relation to the recording of this information.
Pooleview Support Services provides care and support to people living with learning disabilities and autism in a ‘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. At the time of our inspection, the provider was supporting three people with their personal care needs.
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. There was not a registered manager in post. This was because the registered provider managed the service and there was a small staff team providing care and support to people.
People were safe from harm and abuse. Staff had a good understanding of abuse and how to report concerns both within the organisation and outside of it if required. Individual risks were assessed and staff knew how to minimise risks to people. People received their medication as prescribed.
People were supported by staff who had the skills and knowledge to meet their needs. People had access to food and drink and staff encouraged people to ensure they had sufficient amounts. People had access to healthcare professionals when required and were supported to maintain their health and wellbeing.
People said they liked the staff team and we saw they had built up close relationships with them. People were supported to make their own choices and decisions. People were encouraged to be as independent as possible and were treated with dignity and respect.
People’s needs were assessed and reviewed with people and relatives regularly. Staff were responsive to people’s needs and knew people well, including their likes, dislikes and preferences. Staff supported people with activities and to go out into the community when they wished. We saw people had a good relationship with the provider and felt able to give feedback and input into the service.
Staff felt supported by the provider and had the opportunity to give feedback for improvement. Quality monitoring systems were in place but required further improvement to ensure recording of information was robust and highlighted areas for development.