Precious Homes Limited

Updated 3 November 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

This service provides care and support to people living in 2 ‘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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 48 hours' notice of the inspection. This was because people and staff providing their support are often out and we wanted to be sure there would be people at home to meet with us.

The inspection activity started on 27 September by visiting the office location and ended on 04 October 2023 by visiting people in the supported living settings.

What we did before the inspection

We reviewed information we had received about the service since registration. We sought feedback from the local authority. We used this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We met with 3 people living in 2 supported living settings. Not everyone using the service was able to speak with us, so staff supported them to feedback using their preferred communication methods.

We spoke with 7 staff including the registered manager and operations manager. We received written feedback from 1 relative and 3 staff.

We reviewed the support plans and associated records for 3 people using the service. We reviewed 3 staff files in relation to recruitment and selection and a variety of other records relating to the management of the service, including policies and procedures.

Updated 3 November 2023

About the service

Precious Homes Limited is a supported living service providing personal care to people as part of the support they need to live in their own homes. The service supports younger adults and older people with a learning disability and autism. Since our previous inspection in 2017, the provider has changed the address where they are registered. This change has no impact on people’s 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 this inspection 3 people were receiving personal care.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

People had a good quality of life and were fully supported to lead fulfilling lives. Personalised support plans gave clear information for staff to follow in keeping people safe, whilst enabling people to be as independent as possible.

Effective systems were in place to closely monitor incidents and prompt action was taken to mitigate the risk of repeat incidents. People were fully involved in managing personal risks and in taking decisions about how to keep safe. Staff were skilled in recognising signs when people experienced emotional distress and knew how to support people to keep them safe.

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. People were supported to understand their rights and explore meaningful relationships. People knew how to raise concerns and were confident they would be dealt with properly.

Right Care

The staff team ensured people had full access to healthcare services. People's support plans were personalised. Relatives confirmed their family members were supported to follow their hobbies and interests.

Right culture

Staff placed people's wishes, needs and rights at the heart of everything they did. The service promoted a culture of inclusion, diversity and equality.

People were supported to express their individuality. The staff team were caring and dedicated to the people they supported. People had the opportunity to try new experiences, develop new skills and gain independence. Staff supported people to pursue their chosen hobbies and interests.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Staff ensured risks of a closed culture were minimised. People's quality of life was enhanced by the service's culture of transparency, respect, improvement and inclusivity.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for the service at the previous premises was good. (Report published 03 August 2017).

The service was registered with us at the new premises on 23 December 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.