Background to this inspection
Updated
10 July 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
This inspection was carried out by two inspectors.
Service and service type
This service provides care and support to people living in three ‘supported living’ settings, 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.
The service had a manager registered with the Care Quality Commission. 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
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 one health professional about people’s experience of the care provided. We spoke with five members of staff including the provider who is also the nominated individual and registered manager, the locality manager and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included one person’s care records and medication records. We looked at three 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
10 July 2021
About the service
Otang Care Limited provides personal care for younger adults with learning disabilities, autistic spectrum disorder or mental health needs. People received support in their own homes in supported living services. At the time of our inspection the service was supporting 7 people living in 3 houses or flats.
Only one person 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.
People’s experience of using this service and what we found
The provider carried out audits to oversee and improve the quality of the service. Not all audits were effective and had not identified where improvements were needed to some risk assessments which required more information and where the provider needed to make their recruitment process more robust.
People's support needs were assessed regularly and planned to ensure they received the support they needed.
Staff had received training in safeguarding and knew how to keep people safe. The provider had recruitment processes in place to ensure they employed staff who were suitable to support people safely. Medication was administered safely.
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 were supported by kind and caring staff. People were treated with dignity and respect and supported to maintain their independence.
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.
This service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and
independence
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human
rights
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people
using services lead confident, inclusive and empowered lives
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Feedback and records showed that people experienced choice and control over their support and care planning was person centred. The culture of the service promoted peoples’ independence and this was evident in the positive outcomes people had experienced. People were supported to express their views and were treated with dignity and respect.
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 12/06/2017 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.