Homesdale Supported Living

Updated 9 August 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

This inspection was carried out by a single 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 the service a short period of 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 25 May 2023 when we visited the location’s office and ended on 14 June 2023 when we visited people in their home with their consent.

What we did before the inspection

We reviewed information we held about the service which included notifications of events and incidents at the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We asked the local authority for their views about the service.

We used all this information to plan our inspection.

During the inspection

We visited the office for the service and spoke with the registered manger and two directors of the service. We reviewed care records and records related to the running of the service.

We spoke with two relatives and four members of staff by phone to understand their views about the service.

Following the office visit, we asked the consent of people using the service to visit them and we spoke with them in their homes to understand their experience of using the service.

Updated 9 August 2023

About the service

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.

Homesdale Supported Living provides personal care to people with a learning disability and autistic people in a supported living setting. People using the service have their own rooms with some shared communal facilities. Not everyone who uses the service receives 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. At the time of our visit, the service supported two people with personal care needs.

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

Right Support:

The model of care and setting maximised people's choice, control and independence.

Staff understood their roles under the Mental Capacity Act staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were enough staff to meet people’s needs. People were supported to maximise their independence or participate in activities of their choice within their local community. Activities were a reflection of people’s personal choices preferences and hobbies.

Risks to people were identified and risk management plans were in place. Positive risk taking was considered to help people to develop new skills and confidence within a safe environment.

Right Care:

People received person-centred care from staff who promoted their dignity privacy and human rights.

People had personalised plans for their care. They were supported to identify or achieve their aspirations and goals. Staff had training on equality and diversity and supported people’s diverse needs.

Staff knew how to protect people from poor care or abuse. Medicines were safely managed. People were protected from the risk of infection. People’s nutritional needs were met.

Staff received appropriate training to meet people’s needs and were encouraged to do further training for their development.

Staff enabled people to access health and social care support in the community.

Right Culture:

The registered manager monitored the quality of support provided to people. Feedback from people, relatives and staff was positive about the registered manager and the support they offered.

Staff understood the values the provider wanted them to uphold. These were aimed to support people lead confident and empowered lives.

People were actively engaged and consulted about the running of the service through house meetings and informal conversations.

The service considered people’s support needs with a view to increasing their independence. Staff supported people to lead lives connected into the local area.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 19 August 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 and to provide a rating for the service.

Recommendations

We have made a recommendation to the provider about the quality monitoring of the service.

Follow up

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