Background to this inspection
Updated
14 April 2022
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 carried out this inspection.
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. This person was under the age of 18. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at the person’s personal care and support.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.
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 24 hours’ notice of the inspection. This was because the service is small, and the person was often out, so we wanted to be sure the person would be at home to have the opportunity to speak with us.
What we did before inspection
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 reviewed information we had received about the service since their registration with the CQC. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We visited the person in their home and with spoke with them about their experience of the care provided. The person was able to verbally tell us about their experiences.
We spoke with nine members of staff including the care staff, representatives of the provider and the registered manager.
We spent time observing the person and the way staff interacted with them. The person showed us around their home.
We reviewed a range of records. This included the person’s care records and 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 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.
Updated
14 April 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Keyline Care Supported Living is a supported living service providing personal care to one person in their own home.
People’s experience of using this service and what we found
Right Support
Staff supported the person to have the maximum possible choice, control and independence and they had control over their own lives. The person was supported by staff to pursue their interests. Staff supported the person to achieve their aspirations and goals.
The service worked with the person to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Staff followed best practice and guidance to avoid the use of unnecessary restraint. The service recorded when staff restrained the person, and staff learned from those incidents and how they might be avoided or reduced.
The person had a choice about their living environment and was able to personalise their home. Staff supported the person to take part in activities and pursue their interests in their local area. Staff supported the person to make decisions following best practice in decision-making. Staff communicated with the person in ways that met their needs.
Right Care
The person received kind and compassionate care. Staff protected and respected the person’s privacy and dignity. They understood and responded to their individual needs. The service had enough appropriately skilled staff to meet the person’s needs and keep them safe.
The person’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. The person could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
The person received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. The person could take part in activities and pursue interests that were tailored to them. The service gave the person opportunities to try new activities that enhanced and enriched their life.
Right culture
The person led an inclusive and empowered life because of the ethos, values, attitudes and behaviours of the management and staff. The person received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.
Staff knew and understood the person well and were responsive, supporting their aspirations to live a quality life of their choosing. The person and those important to them, were involved in planning their care.
Staff ensured risks of a closed culture were minimised so that the person received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
The inspection was prompted in part due to concerns received about the high number of incidents that had resulted in some form of restraint being used by staff.
Additionally, we undertook this inspection to assess that the service was applying the principles of Right support, Right care, Right culture.
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.