Kelly House

Updated 24 December 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 service was inspected by one inspector.

Service and service type

This service provides care and support to people living in ‘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 24 hours’ notice of the inspection. This was so that we could ensure there would be staff available to support the inspection.

We visited the location’s registered office on 27 October 2022.

What we did before the inspection

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 used all other information available to us including notifications. Notifications are information about specific events and incidents the provider is required to tell us about.

During the inspection

We visited the registered office which was located at one of the supported living accommodations. We spoke with five members of staff including the location manager, a new manager who was due to take over the post and three support staff. We spoke with three people using the service. We reviewed care records for two people and reviewed other documents relating to the running of the service such as audits and policies.

Updated 24 December 2022

About the service

Kelly House is a service providing support with personal care to people with mental health needs living in supported living accommodation and in their own homes, as an outreach service. 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. The provider told us that 92 people were receiving support with personal care, however this was largely limited to prompting of medicines and some personal care, rather than hands on care provided by staff.

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

People using the service were safe. Risks associated with their care were identified and guidance put in place to support staff in managing the risk. Staffing levels were sufficient to ensure people’s needs were met. There was a pool of bank staff able to cover shifts when required. People were supported to be as independent as possible with their medicines. If staff provided support, this was outlined in their care plan.

The service was well led. The service provided was person centred in nature and encouraged people to be as independent as possible. Staff were well supported and able to openly discuss any concerns they had. There were systems in place to monitor the service including audits and recording of any accidents and incidents.

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

The last rating for this service was outstanding (published 2 April 2019). At this inspection we rated the service good.

Why we inspected

The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of people's personal care. This inspection examined those risks.

We found no evidence during this inspection that people were at risk of harm from this concern.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from outstanding to good based on the findings of this inspection.

Follow up

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