Siena Court

Updated 22 September 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

One inspector and an Expert by Experience carried out this inspection.

Service and service type

This service provides care and support to people living in a number of ‘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 provider 24 hours' notice of the inspection. This allowed the provider time to let people know we would be visiting and provide us with records for review as part of the inspection.

What we did before the inspection

We reviewed information we held about the service, including the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send us within required timescales.

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.

We sought feedback from the local authority and a range of professionals who work with the service.

During the inspection

We spoke with one person and seven relatives about their experience of the care provided.

We reviewed a range of records. This included four people's care records. We spoke with four members of staff, including the registered manager and deputy manager.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We telephoned another four members of staff for their feedback, and emailed five further health and social care professionals. We reviewed training information, recruitment information, policies, surveys, newsletters, and quality assurance records.

Updated 22 September 2021

About the service

Siena Court is a supported living service providing personal care to people living in their own homes. The service supports a range of people, including people who have a learning disability and/or autism, and people with physical disabilities. At the time of our inspection the service supported 15 people with personal care.

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

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 the underpinning principles of Right Support, Right Care, Right Culture. For instance, people led meaningful lives that included control, choice, and independence. Support was person-centred support, appropriate and inclusive, with people accessing and playing a part in their community.

People were safeguarded from the risks of abuse. Staff understood their safeguarding responsibilities and knew how to raise concerns. Medicines were managed safely and lessons were learned from incident and accidents.

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 had opportunities to gain new skills, independence and build friendships.

Relatives told us staff were kind, caring and went out of their way to ensure people were safe and well supported. People were involved in the care planning process and achievements were celebrated.

There was a positive culture at the service; staff worked well together and ensured the service did not have to rely on agency staff at times of sickness, annual leave or in recent instances of self-isolation. Where people wanted and were able they played a part in how the service was run.

There were systems in place to assess, monitor and improve the quality of care being provided. Where these could be improved to focus more on ensuring good practice was in place, the registered manager was responsive to feedback.

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 18 April 2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on our approach to inspecting newly registered services.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.