Hervey Road

Updated 30 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

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.

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 people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before inspection

We reviewed information we held about the service which included notifications of events and incidents at the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with four people who used the service and two relatives about their experience of the care provided, three care staff members and the registered manager. We carried out general observations to check how staff supported people.

We reviewed a range of records. These included three people’s care records and six medication administration records. We looked at three staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service, including policies and procedures.

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 30 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

Hervey Road provides personal care to people with a learning disability in a supported living setting. People using the service lived in a medium sized house occupied by six people. They shared communal facilities such as kitchen and sitting areas. 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. At the time of our visit, the service supported six people with personal care needs.

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

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support: The model of care and the setting supported people’s independence, control and choice. People were supported to promote and maintain their independence. Staff worked with people to achieve their goals. Staff supported people in a way which was tailored to their individual needs.

Right Care: People received care which promoted their dignity, privacy and human rights. People told us they were treated with respect and kindness.

Right culture: The provider and staff understood the values of the service. They promoted a culture that encouraged inclusion, diversity and empowered people achieve positive outcomes.

Risks to people were assessed and management plans developed to reduce harm. Staff were supported to ensure they learned lessons from incidents and accidents. Staff knew the action to take to safeguard people from abuse. They had received training in safeguarding adults. There were enough staff available to support people safely. People’s medicines were managed safely. Staff followed infection control procedures to reduce the risk of the spread of infection.

People’s needs were assessed in line with best practice guidelines. Their nutritional and hydration needs were effectively met. People had access to various health and social care services when needed to maintain good health. The provider had systems in place that ensured people continued to receive an effective service when they move from one service to another.

Staff told us, and records showed they were supported in their roles. They and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People consented to their care before they were delivered.

People were involved and supported to express their views about the care and support they received. People were actively involved in the running of the service. Support plans reflected people’s individual needs and the support they received.

The provider had a complaints procedure in place which was available for people to review and follow if needed. People and their relatives knew how to complain if they were unhappy with the service. The provider carried out regular quality assurance checks to help drive service improvements. The provider worked in partnership with other organisations to develop 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 20 September 2018).

Why we inspected

This service was registered with us under a new provider on 1 December 2020 and this is the first inspection since their new registration.

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.