Daffodil House

Updated 25 May 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 Health and Social Care Act 2008.

Inspection team

The inspection team comprised of two inspectors.

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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. The provider did not complete the required Provider Information Return (PIR) at the time it was requested because they did not support people in receipt of the regulated activity of personal care. This is information providers are required to send us annually with key information about the service, what it does well and improvements they plan to make. We reviewed information held on Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with one person using the service and the registered manager. We reviewed a range of records. This included one person’s care and medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Following the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with two professionals who had visited the service, one relative and two staff.

Updated 25 May 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

Daffodil House is a community based service that provides personal care to people living in their own homes in a supported living setting. At the time of inspection one person was receiving a service and in receipt of the regulated activity of personal care.

Not everyone who uses this type of service would receive 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.

Daffodil House is made up of four single bedrooms. There are shared living areas which include the kitchen, two lounges, a dining area, two bathrooms and garden. There was a separate office area for staff.

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

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.

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 accommodation maximised people's choice and independence. Staff focused on people’s strengths and promoted what they could do. The service worked with people to plan for when they experienced periods of distress. People had a choice about their living environment and were able to personalise their rooms. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right care

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity and understood and responded to people’s individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could take part in activities and interests that interested them. The service gave people opportunities to try new activities. Staff and people co-operated to assess risks people might face.

Right culture

People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff knew and understood people well and were responsive, supporting them to live a quality life of their choosing. People and those important to them were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

The provider’s oversight of the service had not identified some risk assessments, medicine records and protocols required more information. However, these gaps in information did not post any risk to people because staff and the registered manager knew how to support people safely. The registered manager immediately reviewed and updated the information at the time of the inspection.

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 29 January 2021 and this is the first inspection.

Why we inspected

This is a newly registered provider and we needed to inspect and rate the service.

Follow up

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