100 Goldstone Crescent

Updated 25 February 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.

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 people 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.

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 not a registered manager in post, however following the inspection an application has been submitted. We are currently assessing this application.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 11 January 2023 and ended on 19 January 2023. We visited the service on 11 January 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 information gathered as part of monitoring activity that took place on 20 December 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 2 relatives about their experience of the care provided. We spoke with 4 members of staff including the area manager.

We reviewed a range of records. This included people’s care records and medication records. We looked at records in relation to recruitment and staff supervision.

Following our visit to the service we looked at additional documents the provider sent us. This included a variety of records relating to the management of the service including quality assurance records and audits.

Updated 25 February 2023

About the service

100 Goldstone Crescent is a supported living house, supporting three adults at the time of the inspection. All people receiving care had a learning disability and additional needs such as mental health needs, sensory impairment, autistic spectrum disorder and/or long-term conditions such as epilepsy.

The Care Quality Commission inspects the care and support the service provides to adults but does not inspect the accommodation they live in. CQC only inspects where people receive personal care, this is help with tasks related to personal hygiene, medicines and eating.

People’s experience of using this 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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

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. Staff supported people to live as independently as possible and be in control of their daily lives.

People’s risks in relation to their care were managed and people were able to live independent lives. There were sufficient staff deployed to meet people’s needs and people received their one-to-one support hours appropriately. We were assured the service were following safe infection prevention and control procedures to keep people safe.

Right Care:

People who used the service and their relatives told us that they felt supported by staff in a kind, caring and dignified way. All feedback received was positive, a relative told us, “I can’t fault them, it’s a fabulous place.” People told us their right to privacy was respected and that the care provided was consistent and delivered by staff who had been working there for a long time and who knew people well.

Right Culture:

The culture of the service was open, inclusive and empowered people to live confident lives. We observed staff interacting in a kind and compassionate way with people who used the service and amongst themselves. People who used the service, their relatives and staff were complimentary about the service and the leadership. Management had undertaken regular audits to look at lessons that could be learnt and made appropriate improvements to the service.

People using the service demonstrated a high level of involvement in the running of the service. The inspection was facilitated by the people who used the service. They were knowledgeable of and keen to share information regarding the running 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 the service under the previous provider was good, published on 26 March 2020. This is the first inspection of 100 Goldstone Crescent following the new registration.

Why we inspected

This inspection was prompted by a review of the information we held about this service and due to the time since it first registered with the Care Quality Commission.

Follow up

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