Background to this inspection
Updated
3 February 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.
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.
We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
Inspection team
One inspector carried out the inspection.
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 did not have a manager currently registered with the CQC. There was a manager who was applying to become registered at the time of the inspection. This means that the provider is 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 did not ask the provider to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since it had registered with us. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We also spoke with three support workers and the regional manager. We reviewed a range of records. This included two people’s care records and two medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two relatives of people using the service.
Updated
3 February 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
St Nicholas Glebe is a supported living service providing personal care to five people with learning disabilities at the time of the inspection. The service can support up to six people. Not everyone who used the service received personal care, at the time of the inspection there were three people receiving personal care. The Care Quality Commission (CQC) 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
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support:
The service supported people to have the maximum possible choice, control and independence. People were able to be independent and had control over their own lives. Staff supported people to achieve their aspirations and goals.
Right Care:
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
Right Culture:
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
People using the service told us this was their home and they felt safe living there. Risk assessments for people were comprehensive and included ways in which staff could support people to remain safe. People received their medicines in a safe way and the provider followed appropriate guidance in relation to infection prevention and control including those associated with COVID-19. There were enough staff employed to keep people safe and recruitment checks were robust.
The service was effective and staff received training that was relevant to the needs of people using the service. Support plans were up to date and regular key worker meetings took place. Staff supported people with their nutrition and ongoing health support needs.
People’s communication needs were met and they were supported to access the community and local amenities to avoid social isolation.
People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.
The service was well managed. This was because there was an open culture and staff and people felt supported. There were effective quality assurance checks in place which identified areas of improvement that the provider was working towards.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
This service was registered with us on 26 November 2020 and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.