Background to this inspection
Updated
25 June 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to one person 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 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 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 they registered with CQC. We sought feedback from the local authority and professionals who work with the service.
The provider was asked to complete a provider information return, however this was only requested by us in May 2021 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 used all this information to plan our inspection.
During the inspection
We visited the supported living accommodation to view the premises where the person lived. We spoke briefly with the person who lived there and one close relative about the service. In addition, we spoke with the registered manager and four staff members. We checked staffing levels, staff rotas, training records and recruitment procedures. In addition, we looked at records related to the management of the service. We did this to ensure the provider had oversight of the service.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at their quality assurance systems and the routines of the service.
Updated
25 June 2021
About the service
Cade Care provides support for one person in a supported living scheme. The building has been adapted to meet the person’s needs.
People’s experience of using this service and what we found
Staff and relatives were extremely positive about support and care provided by this service. For example, comments included, “A great staff team who are so kind and sensitive.” Also, “They are a fantastic team, they could not care for my [relative] any better. They are kind, caring and so patient.” Staff were recruited safely, and sufficient numbers were deployed to provide the right support for the person. Staff demonstrated a good understanding about safeguarding people from the risk of abuse. They knew what action to take if they suspected abuse was happening. Staff managed the persons medicines according to national guidelines and confirmed they had received training. Staff assessed and helped manage avoidable risks. In addition, any incidents that occurred would be analysed and lessons learnt from them. The building was clean and hygienic. This reduced the risk of infection outbreaks. The infection prevention and control policy wase up to date. Staff followed infection control guidance ensure the safety of the person and visitors.
Care and support were planned to ensure the persons needs and wishes were taken into account. Risks were assessed and carefully monitored to ensure individuals safety.
The persons received support with their healthcare and nutritional needs. they 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. Staff training was ongoing and comments from staff were positive about access to specialist training courses. One staff member said, “We have a really good training programme that is supported by the manager and regularly updated.”
Activities were varied, staff had worked hard with the person and relatives to provide meaningful social activities to provide stimulation and exercise for the person. No complaints had been received since the service was registered.
The management team had extensive auditing systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured people were able to give their views of the service and improvements made when they were identified.
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 Care Quality Commission 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.
Right support:
• Model of care and setting maximises people's choice, control and independence.
Care and support had been developed around individual assessed needs. Staff worked in a way which promoted the persons independence. For example, a staff member said, “We are supporting [person] to choose healthier option foods and it is working well.”
Right care:
• Care is person-centred and promotes people's dignity, privacy and human rights
Care support plans were person centred and ensured the individual and family were involved in the development and review of their plan as far as possible. Training and support for staff ensured human rights was at the heart of the delivery of care and support.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
The ethos of the supported living service was to develop and target support which suited the individual and helped them live the best life possible in an area they wished to live.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us June 2019 and this was the first inspection.
Why we inspected
This was a planned inspection based on the first inspection since their registration.
We looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively
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.