Background to this inspection
Updated
1 February 2023
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 conducted by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service
Service and service type
This service provides care and support to people living in 2 ‘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.
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 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. We visited the service’s registered location on 17 November 2022.
What we did before the 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 information we had received about the service since the service was registered with us. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager and a director. We reviewed a range of records relating to the management of the service including the recruitment records for 5 staff and the care and risk management plans for 1 person.
After our visits we spoke with 4 relatives of people who use the service and 4 professionals who have worked with the service recently. We continued to seek clarification from the provider to validate evidence found. We looked at training, procedures, 3 people’s incident records and another person’s care and risk management plans, medicines support records and management records.
Updated
1 February 2023
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
365 Care Solutions Ltd provides supported living services to people with a learning disability or autism and people with mental health needs. At the time of our inspection the provider operated 2 of these services, 1 based in the London Borough of Hammersmith & Fulham and 1 in the London Borough of Harrow. Staff provided 24 hour support in each service. 1 was a house where 3 people lived, the other was a house where up to 4 people lived. There were 2 people living there at the time of our inspection. 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. Only 2 adults were receiving personal care at the time of our inspection.
Right Support
Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Staff supported people to meet their health needs and worked with other agencies to do so.
Staff aimed to help people have a meaningful everyday life by supporting them to take part in activities at home, in the community and online. People were supported by staff to pursue their interests.
There were infection prevention and control practices arrangements in place.
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; policies and systems in the service supported this.
Staff enabled people to access health and social care support at home and in the community.
Right Care
Staff had training on how to recognise and respond to safeguarding concerns, but not all staff were clear on how to report and share information appropriately about such concerns. We have made a recommendation about promoting safeguarding adults awareness.
Staff received training on how to support people.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff knew and understood people and responded to their individual needs.
People's support plans reflected their preferences and needs to promote their wellbeing and enjoyment of life.
Staff communicated with people in ways that met their needs.
Right Culture
The provider operated monitoring processes to ensure people consistently received good quality care and support.
People and those important to them were involved in their care.
The provider had a clear vision for the service based on improving people's quality of life.
People received compassionate and empowering care that was tailored to their needs.
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 19 July 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We have made a recommendation about promoting safeguarding adults awareness.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.