Archived: Perthyn - Kingsfield House

Perthyn - Kingsfield House provides domiciliary care and support to adults with learning difficulties as well as people who also have profound physical disabilities. Support staff are provided throughout the 24hour period to enable people to continue living in the community in shared or single occupancy housing. At the time of our inspection, the service provided care and support to 17 people in 14 locations.

People’s experience of the service and what we found:

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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Based on our review of safe and well-led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: People were supported to achieve good outcomes.

Personalised risk assessments gave information for staff to follow in keeping people safe, whilst enabling people to be as independent as possible. Staff were skilled in recognising signs when people experienced emotional distress and knew how to support people to keep them safe.

People 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.

Right care: The care and support people received was tailored to meet people’s individual needs. People lived in their own accommodation in the heart of the community. Staff treated people with dignity and respect and promoted their right to privacy.

Right culture: The culture within the service empowered people who used the service. The staff team promoted inclusive practices which supported people to live a full life. Their rights and aspirations were promoted.

People and staff were listened to and encouraged to give their feedback about the service. The provider was committed to driving improvement and provide the best care and outcomes for people. They were in the process of reviewing all support to ensure people were involved in their care as much as possible and had opportunities to experience new activities.

The management team had the specialist skills, knowledge and experience to perform their roles and had a clear understanding of people's needs. Systems and processes were in place to monitor the quality and performance of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good published 4 April 2019.

Why we inspected

The inspection was prompted in part due to concerns received about staffing and financial management of the monies of people who used the service. A decision was made for us to inspect and examine those risks.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from these concerns.

You can read the report from our last comprehensive inspection by selecting the ‘All inspection reports and timeline’ link for Perthyn- Kingsfield House 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.

Perthyn - Kingsfield House provides domiciliary care and support to adults with a range of learning disabilities as well as people who also have profound physical disabilities. Support staff are provided throughout the 24hr period to enable people to continue living in the community in shared or single occupancy housing. At the time of our inspection, the service provided care and support to 20 people in 17 houses located in Northampton, Wellingborough and Towcester.

People’s experience of using this service:

¿ A family member said, ‘I'm happy with the care and [person] is really happy.”

¿ A staff member said, “People enjoy coming to work and making a difference to the people they support.”

¿ Staff were motivated to provide person-centred care based on people's choices, preferences and likes.

¿ People were extremely well supported to do the things they wanted to, and go where they wished.

¿ People were actively involved in recruiting new staff which helped to ensure care was person-centred and people were able to build positive relationships with the staff who supported them.

¿ Care records contained clear information covering all aspects of people's individualised care and support.

¿ Staff had regular opportunities to update their skills and professional development so they could effectively perform their roles.

Rating at last inspection: The service was rated Good at the last inspection on 7 September 2016.

Why we inspected: This was a scheduled inspection based on the rating of the last inspection. We found the provider had maintained the characteristics of Good in all areas and the overall rating remains as Good.

Follow up: We will continue to monitor intelligence we receive about the 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

Perthyn - Kingsfield House location provides domiciliary care and support to very dependent adults with a range of learning disabilities as well as people that also have profound physical disabilities. Support staff are provided throughout the 24hr period to enable people to continue living in the community in shared or single occupancy housing.

When we inspected the service provided care and support to 23 people in 20 houses located predominantly in Northampton, Wellingborough and Towcester.

A registered manager was in post. 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.

People benefitted from receiving support from staff that were caring, friendly, and responsive to people’s changing needs. People were supported in their own homes by trained staff that were able to meet their needs safely. Staff were able to demonstrate that they understood what was required of them to provide people with the safe care they needed to remain living at home.

People’s care plans reflected their needs and choices about how they preferred their care and support to be provided. People were treated with dignity and their right to make day-to-day choices about how they preferred their care to be provided was respected.

There were sufficient numbers of staff employed to meet people’s assessed needs. People were protected from the risks associated with the recruitment of staff unsuited to the role by the provider’s recruitment procedures. Comprehensive risk assessments were also in place to reduce and manage the risks to people’s health and welfare.

People benefitted from a service that was appropriately managed so that people received their service in a timely and reliable way. Support staff were deployed to people’s homes so that each person always had the assistance they needed throughout the day and night, seven days a week.

People’s rights were protected and decisions about their care and support were taken in their best interest. Where appropriate people’s relatives or advocates were consulted about the service provided and they had the information and guidance they needed to raise concerns or make a complaint. There were procedures in place to ensure complaints were appropriately investigated and action was taken to make improvements to the service when necessary.