Background to this inspection
Updated
19 January 2022
We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.
Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.
Inspection team
A single inspector carried out this inspection. They were supported by 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 three ‘supported living’ settings, so that they can live as independently as possible. The provider was also providing a domiciliary care package to one person living in their own home.
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.
What we did before inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. 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 this information to plan our inspection.
During the inspection
We spoke with the relatives of four people who used the service about their experience of the care provided. We spoke with three members of staff and the registered manager. We reviewed a range of records. These included two people’s care records and medication records. We looked at staff records in relation to recruitment, training, supervision and other records relating to the management of the service, including policies and procedures and quality assurance records.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
19 January 2022
About the service
Prime & Passionate Healthcare Ltd provides care and support to people living in a supported living setting. At the time of the inspection seven people were living in four houses that had been adapted to meet their needs. CQC does not regulate premises for supported living; this inspection looked at people’s care and support. The provider was also providing a domiciliary care package to one older person living in their own home.
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.
We found the outcomes for people using this service reflected the principles and values of Right support, right care, right culture. These included promotion of choice and control, inclusion and independence. People’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The provider had safeguarding and whistleblowing policies and procedures in place and staff had a clear understanding of these procedures. Appropriate recruitment checks had taken place before staff started work and there were enough staff available to meet people’s needs. Risks to people had been assessed to ensure their needs were safely met. People’s medicines were managed safely. Staff were following government guidance in relation to infection prevention and control.
People’s independence was promoted, and they were encouraged to maintain a healthy balanced diet. They had access to health care professionals when they needed them. People’s care and support needs were assessed before they started to use the service. Staff were trained in areas specifically related to peoples care needs and they were received regular supervision from the registered manager. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People and their relatives had been consulted about their care and support needs. The service had an appropriate complaints procedure in place. There were procedures in place to make sure people had access to end of life care and support if it was required.
The provider worked in partnership with health and social care providers to deliver an effective service. There were systems in place to monitor the quality and safety of the service and any learning was identified and acted on. The provider took people, their relatives and staffs views into account through monthly questionnaires and spot checks. Staff told us they received good support from the registered manager.
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 7 May 2020 and this is the first inspection.
Why we inspected
This was a planned inspection.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.
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.