Background to this inspection
Updated
23 April 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.
Inspection team
The inspection was undertaken by one inspector.
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.
The service has a full time manager who is in the process of registering with CQC as the registered manager for the service. The provider is 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 the 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. 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. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service about their experience of the care provided. We spoke with six members of staff including the manager, area manager, three care workers and an agency carer. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included five people’s care records and 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.
After the inspection
We continued to seek feedback from four relatives and five health and social care professionals about their experience of the care provided.
Updated
23 April 2020
About the service
Progress Housing Supported Living Service provides personal care and support to people living in their own homes. People who received a service had a learning disability and complex needs including communication impairments, physical health needs and complex behaviour. At the time of the inspection five people were receiving a service from one location.
People were tenants in a shared house in a residential street. Each person had tenancy agreements with the landlord. The property was over two floors and had been fully adapted to meet the needs of people who lived there. People had their own bedrooms and bathrooms and shared the communal areas and garden.
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. The property did not have signage that identified it as a place where people received care and support. Staff were discouraged from wearing anything that suggested they were care staff.
People’s experience of using this service and what we found
People were safeguarded from situations in which they may experience harm. Risks to people's safety had been thoroughly assessed, monitored and managed so they were supported to stay safe. People received support from a skilled and consistent team of staff who knew them well. People told us they felt safe.
There was a visible person-centred culture which was truly imbedded within the ethos of the service. The manager and staff team were highly motivated and proud of the service they provided to people. There was a strong commitment to ensure the service was inclusive and people had the opportunity to develop new skills and community connections.
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 treated with dignity and compassion by a kind, caring staff and management team who understood people's individual needs, choices and preferences well.
The culture of the service was positive, and people and staff were complementary of the management and provider. Systems and process were in place to monitor the quality of the service being delivered. Staff told us it was a good place to work and the enthusiasm from the team impacted positively on the people using the service.
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 service was registered with us on 29 March 2019 and this is the first inspection.
Why we inspected
This was a planned inspection in line with our inspection schedule for new services.
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.