Archived: 109 Masons Hill

Updated 30 June 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 Health and Social Care Act 2008.

Inspection team

One inspector carried out this inspection

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. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

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 registered manager would be in the office to support the inspection.

What we did before inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with three people who used the service and four people’s relatives about their experience of the care provided. We spoke with two members of staff and the registered manager. We reviewed a range of records. These included three people’s care records and medication records. We looked at staff records in relation to recruitment, training, supervision and other records relating to the management of the service, including policies and procedures and quality assurance records.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 30 June 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

109 Masons Hill provides care and support to people living in a supported living setting. At the time of the inspection seven people were living in individual flats on one site that had been adapted to meet their needs. There was also an office on site from where staff and the registered manager arranged and managed support. CQC does not regulate premises for supported living; this inspection looked at people’s care and support.

People’s experience of using this service and what we found

We found the outcomes for people using this service reflected the principles and values of Right support, right care, right culture. These included promotion of choice and control, inclusion and independence. People’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Right support

People’s independence was promoted. Their care and support needs were assessed before they started to use the service. Risks to people had been assessed to ensure their needs were met safely. Staff supported people to achieve their aspirations and goals. Staff supported people to take part in activities and pursue their interests in their local area. There was a complaints procedure in place in formats that people could understand.

Right care

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. People had a choice about their living environment and were able to personalise their rooms. They had access to health care professionals when they needed them.

Right culture

People received good quality care, support and treatment because staff were trained in areas related to their care and support needs and they received regular supervision from the registered manager. People and those important to them were involved in planning their care. People, their relatives and staff views were considered through surveys, meetings and spot checks.

The provider had safeguarding and whistleblowing procedures in place and staff had a clear understanding of these. Robust recruitment checks had taken place before staff started working at the service. There were enough staff available to meet people’s needs.

People’s medicines were managed safely. Staff followed government guidance in relation to infection prevention and control. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Peoples preferences for their end of life care was sought and recorded.

The registered manager and staff worked in partnership with health and social care providers to deliver an effective service. There were systems in place to monitor the quality and safety of the service and any learning was identified and acted on. Staff said they received good support from the registered manager and deputy manager.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

Rating at last inspection and update

This service was registered with us on 1 December 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 13 December 2018.

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.