Background to this inspection
Updated
9 September 2020
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.
Inspection team
The inspection was carried out by one inspector.
Service and service type
The service did not have manager registered with the Care Quality Commission, but they did have a manager in post that was going through the registration process. 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 shortly before it took place. This was to obtain information around Covid 19 within the service before entering the premises.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service. We spoke with two members of care staff, the manager, and the director. After the inspection we spoke with two relatives of people using the service by phone.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
9 September 2020
About the service
MK Supported Housing Limited is a care home providing personal care to up to 4 people with learning disabilities and autism. At the time of the inspection, 4 people were living at the service.
People’s experience of using this service and what we found
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 received safe care and felt safe within the service. Staff we spoke with understood safeguarding procedures and felt confident their concerns would be listened to and followed up. Relatives we spoke with told us they felt their family members were safely supported within the service. Risk assessments were in place to manage risks within people’s lives.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out. Staffing levels were sufficient and consistent within the home, and people got the support they needed from staff promptly.
Medicines were stored and administered safely, and staff were trained to support people effectively. Staff were supervised well and felt confident in their roles.
The service was clean, and staff understood infection control procedures and followed them.
Audits of the service were detailed and any issues found were addressed promptly. Staff felt well supported by the manager, and were motivated to provide good care to people.
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.
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 requires improvement (published 19 October 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out a comprehensive inspection of this service on 2 September 2019. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for MK Supported Housing Limited on our website at www.cqc.org.uk.