Background to this inspection
Updated
11 September 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, looked at the overall quality of the service, and provided a rating for the service under the Care Act 2014.
This inspection site visit took place on 26 July 2018 and was announced.
We gave the agency 2 days' notice of the inspection visit because the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. We visited the office to see the manager and office staff; and to review care records and policies and procedures One inspector carried out the inspection.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed other information we had about the service including previous inspection reports and notifications of significant events the provider sent to us. A notification is information about important events which the provider is required to tell us about by law.
We spoke with two people who used the service; the manager, the district manager and two members of staff. We also received a questionnaire back from another member of staff.
We reviewed information about people's care and how the service was managed. These included, two care plans and associated records. We reviewed other records relating to the management of the service, including risk assessments, quality survey and audit records, training records, policies, procedures, meeting minutes and three staff records.
Updated
11 September 2018
The inspection took place on 26 July 2018. We gave 48 hours’ notice of our intention to visit Murrills House to make sure people we needed to speak to were available.
Murrills House provides care and support to people living in a 'supported living' setting, so that they can live in their own home 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. Support is provided to people who are living with a learning disability and may have other physical and mental health needs. At the time of our inspection there were three people receiving personal care and support.
The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
A company called Mylife had bought Supported Living UK in December 2017, however there were no changes to the provider’s registration with the Care Quality Commission because the company was still the same.
A registered manager was not in place at the time of our inspection. The provider had employed a manager who was in the process of applying to the Care Quality Commission to become the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
For the purpose of this report, we will refer to the person who had applied to the CQC to become the registered manager as the manager.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
People and staff told us they received a safe service. All staff had undertaken training in safeguarding adults, they displayed good knowledge on how to report any concerns and could describe what action they would take to protect people from harm.
There were enough skilled staff to meet people’s needs and staff focused on providing people with person-centered support that was provided in a caring and professional manner.
Risks associated with people’s care were well known by staff, clearly documented in people’s care plans and well managed.
Medicines were managed safely and were administered by trained staff.
The manager and staff understood their responsibilities to comply with the requirements of the Mental Capacity Act (MCA) 2005. People were encouraged to make choices about their day to day care and plans for the future.
People received care and support that was delivered in a way that met their needs and preferences. Staff treated people with dignity and respect and people were supported to be as independent as possible.
People were aware of how to raise a complaint and we saw that complaints had been investigated and resolved.
Staff felt supported by the management team. There were systems in place that monitored the quality and the safety of the service provided. Records were thorough, comprehensive and regularly reviewed.