Pelham Road

Updated 2 October 2019

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.

Inspection team

The inspection was completed by one inspector.

Service and service type

This service provides care and support to people living in a ‘supported living’ setting, so 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 the premises used for supported living; this inspection looked at people’s personal care and support.

The service had a manager registered with CQC. 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

This inspection was announced. We gave 24 hours’ notice of the inspection. This was because people are often out, and we wanted to be sure there would be people at home to speak with us. We also needed to be sure the registered manager would be available to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 the six people who shared their home about their experience of the care and support provided. We spoke with two staff and the registered manager. We reviewed a range of records. This included two people’s care and support records and multiple medication records. We looked at two staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including audits, policies and procedures were reviewed.

Updated 2 October 2019

About the service

Pelham Road is registered to provide personal care to people in their own homes. At the time of the inspection they provided a supported living service to six people, living with a learning disability, who lived together in a shared house. People shared a kitchen, lounge and garden. Supported living is where people live in their own home and receive care and support in order to promote their independence.

Not everyone who used the service received 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 and what we found

People continued to be supported to stay safe and told us they felt safe with the staff who supported them in their home. Staff understood how to report and safety concerns and knew how to minimise risks to people’s health and welfare. People continued to be supported by enough staff who had been safely recruited and were trained and knowledgeable about people’s needs. People continued to have their medicines safely and on time. People were supported to keep their home clean and tidy by staff who understood how to protect people from the risks of infection.

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. Their needs and choices were assessed, and they were supported to access health care professionals when needed. People told us staff attended medical appointments with them and explained things to them in a way they could understand.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People told us staff were very kind and they all got on like a family. Staff showed genuine concern for people’s welfare and were compassionate. People said they made decisions about their care and support and that staff helped them when they needed it. Staff had time to spend with people supporting them to do the things they wanted to do. People’s independence continued to be promoted and their independent living skills were developed. Staff respected people’s privacy. Records were stored securely to protect people’s confidentiality.

People continued to be involved in the planning, management and reviewing of their support. Each person had a care and support plan, written with them, which reflected their physical, mental health, social and emotional needs. People spent much of their day out in the local community doing the things they wanted and with people whose company they enjoyed. They were supported to develop and maintain relationships with those who mattered to them. People told us they did not have any complaints but would speak to the registered manager or staff if they were not happy about something.

The registered manager set high standards and led by example. The staff team felt supported by the registered manager and the organisation. Staff promoted a culture of inclusiveness and people were valued for their individuality. Effective checks and audits were completed to make sure people received a good quality of support. Staff worked with people’s health care professionals to ensure care was joined-up.

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

Rating at last inspection

The last rating for this service was Good (Report published 23 February 2017).

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.