Background to this inspection
Updated
17 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: This inspection was carried out by one inspector.
Service and service type: St Quintin Centre for Disabled Children & Young People provides a home care service to children and young adults with a range of needs including learning and physical disabilities and long-term health conditions. Not everyone using St Quintin's Centre for Disabled Children and Young People receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
The service did not yet have a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Notice of inspection: We gave the service three days' notice of the inspection because we needed to be sure the manager would be available to assist us with the inspection.
Inspection activity started on 7 March 2019 and ended on 25 March 2019.
What we did: Before the inspection took place, we reviewed the information we held about the service and the service provider. We looked at notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
During the inspection:
• We visited the provider’s office location
• We reviewed three people’s care plans and related documentation
• We looked at 5 staff recruitment files
• We reviewed records related to the management of the service including policies and procedures developed and implemented by the provider
• We spoke with three staff members. This included the manager, a team leader and a play worker.
Following the inspection, we contacted the parents of two children being provided with a service and a further three members of support staff to obtain their views.
Updated
17 April 2019
About the service: St Quintin Centre for Disabled Children & Young People offers group activities, advice, support and a home care service for disabled children and young people up to the age of 18 years and their families. Children and young adults have a range of needs including learning and physical disabilities and long-term health conditions. The service is run by The Royal Borough of Kensington and Chelsea. Our inspection findings relate to the home care service within St Quintin's Centre for Disabled Children and Young People only. At the time of the inspection three children were receiving support with personal care.
People's experience of using this service:
¿ Children and young people using the service were supported by kind and supportive staff. Relatives provided positive feedback about the caring relationships staff had developed with their family members
¿ The needs of children, young people and family members were considered by a panel of health and social care professionals before being referred to the service.
¿ Outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways. People's care and support was person-centred, proactive and coordinated. Support and interventions were provided in the least restrictive way and children and young people were supported to partake in meaningful and enjoyable activities.
¿ Each person using the service had a comprehensive care and support plan in place. Staff supported people to manage behaviours that may challenge others in line with best practice.
¿ Generic risk assessments were completed for each person using the service. Some sections of people's care and risk management plans were not always kept up to date. Following our inspection the manager provided us with further detailed risk assessments where children and young people are participating in specific leisure activities.
¿ Staff completed safeguarding training and understood how to safeguard children and young people from the risk of possible abuse.
¿ Staff completed an induction period that included shadowing more experienced members of staff before working with children and young people on their own. Staff told us they were well supported by the management team.
¿ Staff demonstrated an understanding of consent and capacity issues in relation to mental health legislation.
¿ People were supported to eat and drink enough where this formed part of an agreed package of care.
¿ The service was working in partnership with other agencies, services and providers.
¿ When incidents had taken place or complaints had been received, the manager acted on these and investigated what had taken place.
¿ Incidents, accidents, concerns and complaints were discussed at team meetings and in supervision sessions with a view to promoting understanding and learning.
¿ The manager was aware that quality assurance systems required further development to ensure the service was consistently safe and effective.
Rating at last inspection: This is the first inspection we have carried out since the provider registered with the Care Quality Commission in April 2018.
Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Enforcement: We found a breach of the regulations in relation to good governance. Please see the ‘action we have told the provider to take’ section towards the end of the report.
Follow up: We will continue to monitor intelligence we receive about this service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk