Background to this inspection
Updated
19 October 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 2008.
Inspection team
The inspection was undertaken 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 a registered manager in post.
Notice of inspection
We gave a short notice of this inspection was given as we wanted to make sure the people were at home for us to meet them.
Inspection activity started on 15 September 2022 and ended on 6 October 2022. We visited the location’s service on 16 and 23 September 2022.
What we did before the inspection
Prior to the inspection we reviewed the information we held about the service, including statutory notifications received. We used all this information to plan our 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.
During the inspection
We spoke with three of the people who used the service about their experience of the care provided. We spoke with two members of staff and the registered manager. We reviewed a range of records. This included three people's care records, needs and risk assessments. We looked at three staff files to check safe recruitment was followed. We also reviewed a variety of records relating to the management of the service, including policies and procedures, training and quality audits. We continued to seek clarification from the provider to validate evidence found and reviewed additional management records sent. We looked at training and quality assurance records.
Updated
19 October 2022
About the service
Hadley House is a supported living service providing personal care and support to up to five people. Supported living is where people live independently in specifically designed or independent accommodation but need some help or support to do so. There were five people living at the service with mild to moderate mental health and learning disability needs when we inspected it. The accommodation was provided by another organisation and as Hadley House is not registered for accommodation with the CQC, the premises and related aspects were not inspected.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and autistic people. We considered this guidance as there were people using the service who have a learning disability and who are autistic.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
People were kept safe. Staff demonstrated they knew how to raise safeguarding concerns and were aware of the processes to follow in order to keep people safe. Risks to people were identified as part of the assessment and care planning procedure. Risk management strategies were in place to assist staff to manage these risks and to identify triggers for behaviours that may challenge, for people they were supporting.
There were sufficient numbers of staff to meet people's needs.
The administration of medicines was managed in a safe way. There were policies and procedures in place for staff to follow and staff told us they found them useful in ensuring people received their medicines safely.
People's dietary needs were being met, and they had access to healthcare services where needed.
People were supported by staff in a kind and caring way. People were supported and encouraged to be as independent as possible in all areas of their lives where-ever possible. Staff knew the people well and care records detailed people's preferences, likes and dislikes. People had access to social activities that met their interests and needs.
A complaints procedure was available and displayed to enable people to access it if they or their relatives had a need.
People received personalised care and support to meet their needs and wishes.
People using the service, relatives and staff were given the opportunity to provide feedback on the service. Audits took place to ensure the quality of the service was maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection and update
This service was registered with us on 17 May 2021 and this was the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information we may inspect sooner.