Ariya Neuro Care (Supported Living) Limited

Updated 12 November 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 is inspection team consisted of one inspector.

Service and service type

This service is a supported living service. It provides personal care to people living in their own houses and flats.

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 we needed to be sure that the registered manager or a senior member of staff would be available to support the inspection.

Inspection activity started on 17 September 2021 and ended on 24 September 2021. We visited the office location on 20 September 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. 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 two people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including support workers, service managers, members of the quality assurance team, the registered manager and nominated individual. We spoke with or received feedback from four external professionals.

We reviewed a range of records. This included three people's care records and multiple 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 also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two relatives and gained feedback via email from two professionals who regularly visit the service.

Updated 12 November 2021

About the service

Ariya Neuro Care (Supported Living) Limited provides care and support to people living in a 'supported living' setting, or in their own home 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. At the time of the inspection, there were 23 people using the service.

People's experience of using this service:

People felt very safe. The service promoted the importance of a strong ethical, kind and positive culture throughout the organisation as the foundation of having a safe environment and minimising safeguarding concerns or poor practice. Safe recruitment practices were followed. Innovative methods to pair people and prospective staff in the recruitment process were in place. Medicine records reviewed confirmed people received these safely. People lived in an environment that was clean and free from the risk of the spread of infection. Staff received a thorough induction process and had completed all the training required to support people safely. Staff received regular supervision and annual appraisals and were able to reflect on the care and support they delivered. Staff were able to access further training and development opportunities in addition to their mandatory training.

Risks to people's safety had been thoroughly assessed, monitored and managed so they were supported to stay safe while their freedom was respected. People were fully supported creatively to live healthier lives by having on-going support to access suitable healthcare services. Staff understood the importance of promoting equality and diversity by supporting people to make choices about their lives. 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. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed. There was evidence the service went the extra mile to ensure people were supported to make decisions.

There was a positive and empowering culture established within the service. This meant people were supported by exceptionally caring and attentive staff that knew them well and helped them to achieve their potential. People were encouraged to live as full a life as possible and supported to achieve the best possible outcomes. Staff had formed positive relationships with people they supported and looked for ways to develop their independence. Care was person-centred and delivered by committed and dedicated staff. Care and support was designed by people, relatives, the staff team and external professionals collaboratively, and was based on combining people's needs and wishes with best practice of acquired brain injury care.

The staff team were very focussed on delivering person-centred care and were responsive to people's changing needs. People were strongly encouraged to continue with their favourite activities and hobbies and supported to develop new ones, if this was what they wanted. People and relatives spoke positively about the input and adaptability of staff and the positive effect this had toward their goal of independent living.

The leadership of the service was outstanding. Robust quality assurance systems had sustained continual development and improvement throughout the service resulting in positive outcomes for people. The registered manager, supported by their senior management team, had established a person-centred culture that consistently delivered high quality care. Staff and the management team were passionate and motivated about their roles and understood their responsibilities. They actively engaged and included people, their relatives and professionals in the ongoing design and delivery of their care and support.

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 Outstanding (published 12 April 2018).

Why we inspected

This was a planned inspection based on the previous rating.

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.