Background to this inspection
Updated
21 October 2021
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.
Inspection team
The inspection was carried out by one inspector.
Service and Service type
London Borough of Greenwich – 99 Elliscombe Road 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.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.
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 this information to plan our inspection.
During the inspection
We spoke with two people who were living at the service and we carried out observations of people’s support and interactions with support workers. We spoke with the current registered manager and the new manager who was planning on taking over the registered manager role.
We reviewed the care and medicine records of two people and we looked at records related to staff supervision and training. We also looked at policies and procedures and records related to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with two support workers and the acting resource manager. We received feedback from three professionals who worked with the service to plan and deliver health and social care.
Updated
21 October 2021
About the service
London Borough of Greenwich – 99 Elliscombe Road is a supported living service that provides personal care and support for people with learning disabilities and/or autistic people. The service accommodates up to four people in one adapted building. At the time of our inspection there were two people receiving care and support.
People’s experience of using this service
People told us they were supported to understand risks and they knew how to stay safe. Risks were well managed. The provider ensured people were protected from the risk of acquiring infections and the service was clean and hygienic. Medicines were managed safely by staff who had received relevant training. There were sufficient staffing levels to maintain people’s safety and ensure their social care needs were met.
People’s health and social care needs were assessed, and plans put in place to meet these. The provider met people's nutritional and hydration needs and supported them to have a balanced diet. People were given ongoing information and guidance to help them understand and manage their health conditions. 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.
People told us the staff were kind and caring and knew them well. People were treated with dignity and respect and they were supported to learn and maintain daily living skills.
The provider ensured people were supported to attend activities of their choice in their local community. Communication needs were considered, and detailed guidance was in place to help effective communication.
There were quality assurance systems in place to ensure care and support were kept to a good standard. The service worked with a range of healthcare and multidisciplinary professionals to achieve good outcomes for people.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• People told us how they were in control of how they lead their lives and were supported to learn and maintain daily living skills.
Right care:
• People were treated as individuals and their personal preferences were known and upheld by staff that knew them well.
Right culture:
• The provider engaged and included people in all aspects of their support, including the selection of new staff. Staff were proud of how they worked together as a team to ensure people were supported to make decisions for themselves and lead the life they wanted.
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 (19 May 2018).
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.