Background to this inspection
Updated
13 April 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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in a 'supported living' setting, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people's personal care and support.
The service did not have a manager registered with CQC. This means that the provider is 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. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection and we wanted to be sure there would be people at home to speak with us.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with three members of staff including the manager and two support workers.
We reviewed a range of records. This included five people’s care records and two medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We sought feedback from two professionals who work with the service.
Updated
13 April 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
Coltash Road is a supported living service providing personal care and support for people with a learning disability and /or autistic people. At the time of the inspection the service was provided to five people. The accommodation was within one converted residential house. The service can support up to five people.
People’s experience of using this service and what we found
Right Support
People were supported to have choice, control and independence. Staff focused on people’s strengths and abilities. People were encouraged and supported to pursue interests that they loved and interested them. One person had decorated their flat in a transport theme that reflected their passion for their hobby. Coltash Road gave people with a safe and clean environment that provided people with the privacy of their own flats, while promoting a communal and inclusive environment.
People were supported with making their own choices in every aspect of their daily lives. Staff ensured that freedoms were not restricted as much as possible and people were supported to make decisions through effective planning and communication with staff. People were supported by staff who communicated with them effectively to ensure needs were met and in a way that promoted wellbeing.
Right Care
We saw people receiving kind and compassionate care. People were very comfortable around staff and regularly engaging with them in conversation. People were seen smiling and laughing throughout the inspection. When some people required additional support, staff were responsive in providing this. Staff were skilled and knowledgeable about people’s communication needs. Staff understood how to protect people from poor care and abuse. People were encouraged to undertake activities and tasks to increase their independence, while taking positive risks, where appropriate.
Right Culture
Staff ensured that people’s wishes and needs were at the forefront of the support they provided. People led empowered lives and the ethos and culture of the service supported this. Management and staff understood the principles of positive behaviour support (PBS) which meant that, together with a good knowledge of people’s needs, staff were able to effectively understand and support people should they were distressed. Staff received effective, person centred training that provided them with the skills to understood good practice in promoting the strengths, and supporting the needs of, people with Autism and a learning disability.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 25 November 2019 and this is the first inspection.
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.