Background to this inspection
Updated
24 August 2022
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 team consisted of one inspector.
Service and service type
This service provides care and support to people living in 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short period notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us
We visited the office location on 8 August 2022.
What we did before the inspection
Before our inspection, we reviewed the information we held about the service which included statutory notifications and safeguarding and the Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We went to the service's office and spoke with the nominated individual(as the registered manager was not available) and two support workers,. We looked at two care records and three staff records; we also looked at various documents relating to the management of the service. We spoke to one person who used the service, and one relative We also received feedback from three external professionals who had regular contact with the service.
Updated
24 August 2022
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.
About the service
Fortis Care North London provide supported living services including personal care and support to people with a learning disability, autistic spectrum disorder or a mental health condition. At the time of our inspection four people were receiving a personal care service.
Not everyone who uses this type of service would receive 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.
People’s experience of using this service and what we found
Right Support
¿ The service was caring. People were respected and valued as individuals.
¿ People's wellbeing was improved by person-centred activity planning.
¿ People's needs were assessed, and detailed care plans and risk assessments were in place to help staff support people in line with their preferences.
¿ 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.
Right Care
¿ The service has taken steps to meet people’s information and communication needs and demonstrated respect for people’s diverse needs and human rights.
¿ Risks to people's care were assessed and actions put in place to manage them. Positive risk taking was encouraged and supported by staff; relevant risk assessments and plans were in place.
¿ Medication was managed in a safe way. There were checks in place to ensure this was done safely.
¿ The management team were aware of their safeguarding responsibilities; appropriate referrals had been made when required. Staff's knowledge and competence in this area was assessed regularly.
Right Culture
¿ There was a strong person-centred culture.
¿ People told us staff were kind and caring.
¿ Care was delivered in a person-centred way around people's needs, preferences and their desired outcomes.
¿ Staff worked with people to empower them to make their own decisions about their care.
¿ People’s quality of life was promoted by staff who knew them well and respected their characteristics and preferences.
¿ The management team were knowledgeable and passionate about delivering quality care centred around people's needs and preferences.
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 (published on 2 October 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions Safe, Effective and Well Led
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.