Background to this inspection
Updated
16 March 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.
This was a targeted inspection to check on a specific concern we had received relating to the moving and handling practices at the service. This was due to concerns about moving and handling practices the provider had identified and reported to CQC.
Inspection team
The inspection team consisted of one inspector. The inspection was supported remotely by a second inspector.
Service and service type
This service provides care and support to people living in two ‘supported living’ settings, 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 also operates a domiciliary care agency and provides personal care to people living in their own houses in the wider community.
Notice of inspection
We gave short notice of the inspection in order to be sensitive to people’s needs and choices relating to visitors to their home. This gave staff time to prepare people for our visit.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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
We spoke with three people who used the service about their experience of the care provided. We spoke with six members of staff including the service manager, deputy managers and care workers.
We reviewed a range of records. This included three people’s care records and three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We looked at training data and quality assurance records. We sought feedback from people using the service, relatives and external professionals who visit the service. We received feedback from one person using the service, three relatives and two external professionals.
Updated
16 March 2021
About the service:
SeeAbility Horley Support Service provides domiciliary and specialist support to young people with visual impairment and complex needs. The service is provided at Bradbury House, which is a purpose-built, single-storey building. The service is registered to provide personal care. At the time of our inspection, there were six people living at SeeAbility and four people were receiving outreach support within their own homes.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
People’s experience of using this service:
People and their relatives told us they felt safe living at SeeAbility. Risks to people’s safety had been assessed and measures implemented to keep them safe. A positive approach to risk taking was followed to ensure people’s independence was maintained. Staff were aware of their responsibilities in safeguarding people from abuse and had developed open and trusting relationships with people.
Staff had received training and support from healthcare professionals with regards to people’s individual health needs. This had enabled staff to provide people with individualised support in these areas.
People were offered choices in all areas of their lives, including what they ate and how they spent their time. Relatives told us that staff were caring and treated their family members with respect. People were supported to maintain relationships with friends and families. Staff had worked at the service for many years and positive relationships had developed between people. There was a warm and homely atmosphere and people were clearly comfortable living at SeeAbility. People’s dignity and privacy was respected, with personal care and conversations taking place behind closed doors.
People received a personalised service and were involved in developing their care plans. Staff knew people’s life histories, preferences and routines. Activities were based around people’s choices and people were supported to take part in the running of their home. There was a positive culture within the service where people, staff and relatives felt listened to. The registered manager felt supported by the provider and this flowed through the service.
People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.
Why we inspected:
This was a planned comprehensive inspection to confirm the service remained Good.
Follow up:
We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.