5 March 2021
During an inspection looking at part of the service
Shine Supported Living - South East is a supported living service registered to provide personal care. The service provided care and support to seven people with a learning disability or other complex needs living in supported living' settings, so that they can live in their own home as independently as possible. 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. Two people were in receipt of personal care when we visited.
People’s experience of using this service and what we found
People were not being protected against abuse. There were instances of harm taking place at the service where appropriate action had not been taken by the provider to mitigate the risk of harm occurring again. The local authority were not always being informed when safeguarding incidents occurred.
The behaviour that challenged people was not being managed in a safe way. Behaviour charts were not being completed for people where required to do so. Staff had not always received appropriate training to ensure they could meet people’s needs. There were not always sufficient staff to safely support people.
The leadership at the service was not robust and there was not sufficient auditing by the provider to review the quality of care provided. Notifications were not always being sent to the CQC when it was appropriate to do so.
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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People were not always supported with their independence. Staff did not always have an understanding of the support and care people needed to enable them to have a fulfilled life.
Right support:
• Model of care and setting did not maximise people's choice, control and Independence
Right care:
• Care was not person-centred and did not promotes people's dignity, privacy and human rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff did not ensure people using services lead confident, inclusive and empowered lives
Following this inspection, we worked closely with local authorities to ensure people were safeguarded from ongoing harm. Two people were supported to move out of the service.
Rating at last inspection (and update)
The last rating for this service was Requires Improvement (published 10 January 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found sufficient improvements had not been made and the provider remained in breach of regulations.
The service is rated as inadequate in the key questions Safe and Well Led.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. We received concerns in relation to people being safeguarding from the risk of abuse. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led only.
We reviewed the information we held about the service. 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 care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the Safe, and Well Led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Shine Supported Living - South East on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to people not being protected from the risk of neglect and abuse, risks related to the care being provided to people, the lack of suitably qualified staff and the lack of robust provider and management oversight at this inspection.
We took action against the provider and cancelled their registration at Shine Supported Living. Everyone who received a regulated activity has moved out of the service, and we have de-registered Shine Supported Living with the Care Quality Commission.