Background to this inspection
Updated
16 July 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 was carried out by one inspector.
Service and service type
This service provides care and support to people living in three ‘supported living’ settings, 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
This inspection was announced.
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 26 May 2022 and ended on 30 May 2022. We visited the office location on 22 May 2022.
What we did before inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the intelligence that we held about the service and feedback from the local authority. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service and three relatives about their experience of the care provided.
We spoke with 10 members of staff including the registered manager, director, compliance manager, care manager, activity and wellbeing manager, complex care Lead and four care staff.
We reviewed a range of records. This included two people’s care records and medication records. We looked at 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 received feedback from four professionals who regularly visit and are in contact with the service.
Updated
16 July 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
Prosperity Care and Wellbeing Ltd is a supported living service providing personal care to people who may live in single or shared occupancy households with their own tenancy agreements. This registered location supported 13 people living in nine households of different sizes (single and multiple occupancies). Some households have shared communal areas and shared care at different parts of the day. At the time of the inspection, the service was supporting four people with personal care living in three different households.
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.
People’s experience of using this service and what we found
Right Support
Staff supported people to have the maximum possible choice, independence and control over their own lives. Staff focused on people’s strengths and supported them to reach their goals. People were supported by staff to pursue their interests.
Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. People were encouraged to play an active role in maintaining their own health and wellbeing.
Right Care
People's lives had been enriched and had greatly improved due to the consistent and personalised care that they received from staff. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
People were supported by staff who were caring and compassionate. There was enough appropriately skilled staff to meet people’s needs and keep them safe. Staff understood people’s cultural needs and promoted equality and diversity in their support for people.
Managers and staff had worked collaboratively with people, their relatives and other stakeholders to improve people’s lives and to promote effective outcomes for people.
People, relatives and other stakeholders spoke highly of the service and the staff who supported them. People had flourished since being supported by Prosperity Care and Wellbeing Ltd.
Staff had supported people to overcome personal barriers, sustain their interests and try out new opportunities. These achievements had improved people’s confidence, skills and wellbeing.
Right culture
The provider’s values and passion about supporting people to personally grow and reach their goals and aspirations were reflected in staff practices.
There was a genuine commitment throughout the whole of the organisation to provide bespoke care and to ensure people were empowered to live a life of their choice. The principles of good ‘wellbeing’ was at the heart of the service.
People received high quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff overwhelmingly praised the support and passion of the registered manager and management team.
There was an open and honest culture and passion to drive improvement. Incidents and concerns were investigated and acted on. People, relatives and staff felt confident to raise concerns and were assured their concerns would be acted on. The service was shaped and influenced by the people who used it. The provider used feedback to improve the quality of people’s lives.
We have made a recommendation that the provider considers current guidance on how to demonstrate outstanding responsive care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
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.