Background to this inspection
Updated
17 November 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service 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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We used all this information to plan our inspection.
During the inspection.
We spoke with the registered manager, operations manager, deputy manager and 4 members of support staff. We observed people receiving care and support. We also spoke with 3 relatives of people who lived at the location.
We reviewed a range of records. This included 3 people’s care and support plans, medicines administration records for the same 3 people, 3 staff files, the staff supervision matrix and staff meeting records. A variety of records relating to the management of the service were also reviewed.
Updated
17 November 2023
About the service
Rehability UK is a supported living service which provides support to up to 12 people who live with a learning disability in their own flats. There is an office on the same site as the flats from where the service is managed. Staff provide an overnight ‘sleep in’ service at the location.
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. At the time of the inspection there were 8 people living in the flats, 4 of whom were receiving the regulated activity of personal care.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support:
Staff supported people to engage in their preferred activities to enable them to lead fulfilling and meaningful everyday lives. People had a choice about their living environment and were able to personalise their rooms. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way which met their health needs.
Right Care:
People's care, treatment and support plans reflected their range of needs to promote their wellbeing and enjoyment of life. People’s care plans contained personalised risk assessments which supported people to take positive risks.
Right Culture:
People received good quality care, support and treatment because staff worked with specialists to meet people’s needs. Staff knew people well and supported them to live a life of their choosing. Staff continually acted as advocates for people to promote positive outcomes for them.
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 (published 9 August 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service and the length of time since the last inspection.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained 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 Rehability UK Berkshire on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.