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Manor Court Chambers

Overall: Good read more about inspection ratings

Townsend Drive, Attleborough Fields Ind Estate, Nuneaton, CV11 6RU (01926) 699578

Provided and run by:
Individual Support Solutions Ltd

Latest inspection summary

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Background to this inspection

Updated 4 July 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 two inspectors, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type: Powell House is a domiciliary care agency and supported living service providing community support and personal care to people living in their own homes 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.

The service had a registered 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 the service notice of the inspection visit because it is a domiciliary care agency/supported living service and we needed to be sure the registered manager would be in.

The Inspection site visit was carried out on 11 June 2019. We visited the office location to see the registered manager, the office staff and support workers; and to review care records and policies and procedures. People using the service were contacted on the 11 and 12 June 2019.

What we did before the inspection: The provider had completed a Provider Information Return (PIR), this is information the provider is required to send us at least annually that provides key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the service such as notifications. These are events which happened in the service that the provider is required to tell us about. We sought feedback from the local authority who monitor the care and support people received and Healthwatch Warwickshire, the local consumer champion for people using adult social care services. We used all this information to plan our inspection.

During the inspection: We spoke with one of the people using the service and three relatives. We spoke with the registered manager, the branch manager, the team leader and two support workers. We reviewed a range of records about people's care and how the service was managed. This included two people's care records. We also looked at associated documents including risk assessments and a sample of medicine records. We looked at records of meetings for the staff team, staff training records and the recruitment checks carried out for new staff employed at the service. We also looked at a sample of the providers quality assurance audits that the management team had completed.

After the inspection: The registered manager provided us with copies of documents requested to demonstrate compliance with the regulations.

Overall inspection

Good

Updated 4 July 2019

About the service: Powell House is registered to provide personal care to people living in their own homes, including supported living locations. At the time of our visit the agency supported 11 people with the regulated activity: 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:

People felt safe using the service and the staff team were aware of their responsibilities for keeping people safe from avoidable harm.

Risks associated with people’s care and support and been assessed and appropriately managed.

Recruitment processes ensured only suitable people worked at the service and suitable numbers of knowledgeable and skilled staff were available to meet people’s needs.

People were protected by the prevention and control of infection. The staff team had received training in infection control and the appropriate protective equipment was provided.

The registered manager ensured lessons were learned when things went wrong and continually looked at ways of improving the service.

People’s care and support needs had been assessed and they were supported to live healthier lives. Comprehensive plans of care were in place and people received the care and support they preferred.

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 support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The staff team were kind and caring and treated people with respect.

People’s thoughts on the service were regularly sought and monitoring systems were in place to check the quality and safety of the service being provided.

The rating at the last inspection: The last rating for this service was good (report published 14 September 2016)

Why we inspected: This was a planned inspection based on the previous rating.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk