Background to this inspection
Updated
1 February 2023
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 Act.
Inspection team
An inspector carried out the inspection.
Service and service type
Potensial North East Supported Living provides care and support to people living in 5 ‘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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local commissioners and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We met 9 people who used the service and spoke about their experiences. We spoke with the registered manager and 6 staff members.
We reviewed a range of records, which included 3 people’s care records, medicine records, staff files and a variety of records relating to the management of the service, including policies and procedures.
Updated
1 February 2023
About the service
Potensial North East Supported Living is a service registered to provide personal care to individuals living in their own homes and they primarily offer services to adults with learning disabilities or autistic people. At the time of our inspection there were 10 people using the service .
People’s experience of using this service and what we found
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.
Right Support
People were regularly asked for their opinions and gave them freely. People were involved in discussions about their support and given information in a way they understood. Staff supported people to take part in activities and pursue their interests in the local area. People told us they could choose their own social interests and were supported by staff to do this. Where people had support, they told us this was flexible, available when required and to the level they needed. Staff supported people to play an active role in maintaining their own health and wellbeing. People were supported safely with medicines. Infection prevention and control practices reflected current guidance.
Right Care
Staff promoted equality and diversity in their support for people. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. The provider had introduced an system for managing and overseeing the recruitment process centrally, some of the templates such as application forms would benefit from enhancement. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff protected and respected people's privacy and dignity. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
Right Culture
The service was open to new ways of working and ongoing improvements were introduced to promote independence and inclusivity. People received good quality care, support and treatment because trained staff could meet their needs and wishes. Staff placed people’s wishes, needs and rights at the heart of everything they did. They sought advice and feedback from everyone involved in people's care. Staff were aware of and working to best practice guidance for supporting people with a learning disability and/or autistic people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 27 May 2021).
At the time we found the service was in breach of 2 regulations regarding the effectiveness of the service’s quality assurance and submitting notification to us. 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 improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that staffing levels and training needs were regularly reviewed in line with best practice guidance and taking into consideration the assessed needs of people using the service. At this inspection we found the provider had made improvements.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements.
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 COVID-19 and other infection outbreaks effectively.
This report only covers our findings in relation to the key questions safe and well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.