20 October 2023
During a routine inspection
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.
At the time of our inspection the service was supporting 7 people, with 1 person receiving the regulated activity of personal care. As there was only 1 person receiving care at the time of the inspection and the fact we want to protect the person’s right to a private life, the report will provide an overview rather than specific examples.
People’s experience of using this service and what we found
Quality checks were in place, but some were not always effective in identifying where improvements were needed.
Important information about a specific incident had not been shared with us as legally required.
Some pre-employment checks had been completed but references from staff’s previous employment were not available for us to review or to the registered manager or provider who had not have oversight of them.
Risks of harm or injury were assessed, and care plans gave information to staff on how to reduce risks. Care plans were reviewed regularly and updated when people’s needs changed. People were protected from the risks of abuse.
Staff completed an induction and training. Their skills and knowledge were assessed, and they felt they had the skills they needed. There were enough staff available to provide the agreed support to people.
Staff were kind and caring toward people and the service had a caring culture which was demonstrated by staff.
Staff felt supported in their job roles and able to raise any concerns with the registered manager.
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 registered manager had completed mental capacity assessments for people and staff worked within the remit of the Mental Capacity Act. when needed.
Systems were in place to gather people’s feedback on the service, and this was analysed by the registered manager and provider.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 31.03.2023 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement
We have identified breaches in relation to the safe recruitment of staff and how the provider monitors the service provided.
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 continue to monitor information we receive about the service, which will help inform when we next inspect.