Archived: 23 Langdale Crescent

23 Langdale Crescent provides personal care and support to three people with mental health and learning disabilities living in two supported living schemes in South East London. Both schemes were operated from two terrace houses which were staffed 24 hours a day.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The provider has failed to inform the Care Quality Commission (CQC) of accident and incidents that occurred at the service as required by law. The registered manager informed us this was an oversight and health and social care professionals confirmed they were informed promptly, and the provider took the right actions to ensure people remained safe.

People, their relatives and professionals were complimentary about the service. They said they or their loved ones felt safe using the service. People experienced care and support that was personalised to their needs to promote recovery. Assessments were carried out to ensure people’s needs could be met. Where risks were identified, management plans were in place to manage risks safely.

People were supported to receive their medicines safely. Appropriate numbers of staff were available to support people’s needs and the provider followed safe recruitment practices. Where accident and incidents had occurred, appropriate actions were taken, and lessons learnt to prevent future occurrences.

People were supported to have maximum choice and control of their lives, 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 to eat healthily and access healthcare services when required. People received support from staff that had completed training and were supervised in their role.

People received care and support from staff that were kind and attentive to their needs. People, their relatives and professionals were involved in making decisions about the care and support in place. People’s privacy and dignity was respected, and their independence promoted. Staff understood people’s divers needs and supported them in a caring way.

People were supported to maintain relationships with those important to them. People’s communication needs had been assessed and met. People and their relatives knew how to complain if they were unhappy about the service. There were systems in place to assess and monitor the quality of the service.

The service worked in partnership with health and social care professionals to plan and deliver an effective service. The registered manager understood their responsibility under the duty of candour to be open, honest and to take responsibility when things go wrong. The management team demonstrated a commitment to ensure people experienced meaningful, person centred and high-quality care.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: This is the first inspection of the service since their registration with CQC on 19 October 2018.

Why we inspected

The inspection was prompted in part due to concerns received about the safety of people using the service, staff knowledge and skills in managing risks and staffing levels. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the ‘Safe’, ‘Effective’, ‘Caring’ and Responsive’ sections of this full report. However, we found the provider had failed to notify us of significant events at the service. Please see the ‘Well-led’ section of this full report.

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.