24 May 2022
During a routine inspection
About the service
Hartley Road is a supported living service. Personal care is provided to three people living in a shared house.
People’s experience of using this service and what we found
Right Support
People were not consistently supported to ensure they had fulfilling and meaningful lives. People’s goals were not clearly defined and people were not always offered choices in a way that was meaningful to them. Staff had identified where the support they provided was restrictive for people's safety, but had not obtained the appropriate authorisations for these practices. While the setting is registered as a supported living service, some areas of the home, particularly the dining room, looked and felt like staff areas which is not appropriate in people’s homes. People were supported by staff who knew them well and who cared about them.
Right Care
Staff knew people well and understood how they communicated their wants and needs despite this being poorly captured in care records. People were supported to access the healthcare services they needed to stay well. Staff worked closely with people’s families to ensure people received the care they needed. However, people’s care plans lacked details about people’s preferences, goals and aspirations. People were not consistently supported with activities they enjoyed.
We have made a recommendation about how people are supported to follow a balanced diet.
Right culture
People’s families were closely involved in their support and people were supported to maintain relationships with people who were important to them. Staff had not always received the training they needed to perform their roles. The provider had identified there was more work to do to seek and act on people and their families’ feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating and update
This service registered with us on 26 April 2021 and this is their first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We had undertaken a monitoring activity and this indicated the service might not always have been applying these principles.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We have identified breaches of regulations in relation to medicines management, staff training, consent and safeguarding related to restrictive practice.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.