Background to this inspection
Updated
11 December 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Homely Supported Living provides care and support to people living in one supported living setting, so 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.
Inspection activity started on 20 November 2019 and ended on 26 November 2019. We visited the office location and one supported living scheme on 20 November 2019. We spoke to a relative on 26 November 2019.
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 all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We visited one person who used the service and observed interactions between them and staff. We spoke with three members of staff including the registered manager and care staff.
We reviewed a range of records. This included one person’s care records, their medication records. We looked at five staff files in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with one relative about their experience of the care provided.
Updated
11 December 2019
About the service
Homely Supported Living is registered to provide personal care and support to people with a learning disability, autistic spectrum disorder and/or a mental health condition. At the time of the inspection the service was providing personal care and support to one person living in a supported living setting.
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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People’s needs were met safely by suitable staff who knew how to safeguard them from the risk of abuse and harm. People were protected from the risk of infection. Their medicines needs were met safely by staff. Accidents and incidents were investigated, and lessons learnt to minimise future occurrence.
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.
People’s needs, and choices were assessed before they started receiving care. People’s needs were met by staff who were well trained and received regular supervision. People were supported to access ongoing healthcare services.
People were supported by staff who were caring, respectful and knew how to provide a non-discriminatory service. People’s freedom was respected, and independence encouraged. People were supported by the same team of staff.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People received person-centred care and their care was planned in a personalised way. Staff were informed about people’s personal and changing needs. There were appropriate complaint’s processes in place to investigate and learn from complaints. There were systems in place to support people with end of life care needs.
The service was well managed. People, relatives and staff told us the registered manager was approachable. Staff felt well supported. There were robust auditing and evaluating systems in place to drive improvement. The registered manager worked with other agencies to improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was not rated at the last inspection (published 17 October 2019).
Why we inspected
This was a planned comprehensive inspection based on CQC's scheduling process to check the safety and quality of care people received.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.