Cumberland Complex

Updated 10 June 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector

Service and service type

This service provides care and support to people living in 1 ‘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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service. We spoke with 3 members of staff, the registered manager, the deputy manager and the provider, We reviewed a range of records. This included one person’s care records and medicine administration records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, including audits were reviewed.

Updated 10 June 2023

About the service

Cumberland complex is a supported living service that can support up to 38 people. At the time of our inspection it was only providing a regulated activity to one person. The building had been adapted for supported living services and was registered with the local authority as a house of multiple occupancy (HMO). The building was in the seaside town of Torquay close to local shops and the sea. People had their own rooms and there were shared dining and communal lounge facilities. There was an office on site with staff available for support if needed.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

One person was supported to have maximum choice and control of their life 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.

Since our last inspection improvements had been made in relation to medicines management, governance and how risks to people were assessed, monitored and managed.

The provider, registered manager and staff were clear about their roles and responsibilities. Quality assurance checks were in place to monitor the quality of the service provided. Medicines were managed safely, and people received their medicines as prescribed.

Staff were skilled and knowledgeable and knew how to identify and report any concerns. The provider had safe recruitment and selection processes in place. Staff were deployed effectively to meet the persons needs.

Rating at last inspection and update

The last rating for this service was requires improvement (published 30 April 2020) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 12 March 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve medicines management, risk management and governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cumberland Complex on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.