Updated 15 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: The service is registered to provide supported living and domiciliary care to adults in their own home. The service supports people with learning disabilities, younger adults, people with physical disabilities and people with mental health needs.
There were four registered managers working for the service at the time of inspection. Each one was responsible for a different geographical area and the care the provider delivered within that area. Registered managers together with 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 the service 48 hours’ notice of the inspection visit. As the service is spread out across the county and we needed to ensure the managers would be able to meet us at the registered office for the inspection to be carried out.
What we did: Prior to the inspection we reviewed information we held on the service. This included the Provider Information Return (PIR) which providers are required to send us and includes key information about their service, what they do well, and improvements they plan to make. Providers are also required to notify us of specific events which include, safeguarding concerns, events that stop a service and deaths. We reviewed all the notifications we had received since the last inspection.
During the inspection we spent the majority of our time at the registered office however, we were invited to visit two properties. Visiting the properties gave us the opportunity to speak with two people and observe the care of three other people. We spoke with one relative and with ten staff who worked for the provider. They included support workers, a team leader, three of the registered managers, the area manager and the quality lead.
When in the registered office we reviewed various records held by the service which included four care plans, three staff files, health and safety records, audit reports and action plans, complaints and accident and incident forms
We also contacted the local authority and asked them to share any feedback they may have.