Priory Supported Living South Peninsula is a supported living service which provides personal care to people with a learning disability and autistic people living in their own homes.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. When we visited, the agency supported three people with personal care.
People’s experience of using this service and what we found
People’s relatives gave us positive feedback about the service. They said staff were caring, compassionate and treated people with dignity and respect. One relative said, “I just feel very positive, very impressed with it [the service]. The care team are so efficient.”
People were safe with the staff who supported them. Staff understood the signs of abuse and felt confident any safeguarding concerns reported were listened to and responded to.
People received their prescribed medicines safely and on time. People's risk assessments and care plans provided staff with detailed, up to date information about how to safely care for each person. Risk was balanced with people’s individual rights and responsibilities.
We were assured the service was following safe infection prevention and control procedures to keep people safe with regard to the current COVID 19 pandemic. The service had monitoring arrangements to ensure all aspects of infection control followed best practice guidance.
People received safe care because staff recruitment, training, supervision and competency checks ensured all staff had the necessary qualifications, skills and experience and were of the right character to support vulnerable people.
The service was going through a significant period of management change. Quality monitoring systems were being constantly reviewed and improved to ensure the safety and quality of the service. An action plan was in place to ensure necessary improvements were being made.
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.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
People were at the centre of their service; people chose where they lived and who they lived with. They had control over their own lives. People's care was planned with them and with those close to them, such as their family members and was reviewed regularly. People were supported to live independently in their own homes by a small team of staff. People's human rights were respected and they were encouraged and supported to make their own decisions and to take risks.
Right support:
• Model of care and setting maximises people’s choice, control and
independence
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human
rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people
using services lead confident, inclusive and empowered lives
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (report published 8 February 2020).
Why we inspected
We received several notifications from the provider that one person may be placing themselves and others at risk of harm. We had also been notified the last registered manager had left the service and they had de-registered with us on 27 April 2021. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from these concerns.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this 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.
The overall rating for the service has not changed. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Priory Supported Living South Peninsula on our website at www.cqc.org.uk.
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.