Paradise Independent Living

Updated 16 March 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 inspection was carried out by one inspector.

Service and service type

Paradise Independent Living provides care and support to people living in four ‘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.

The service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was announced. We gave the service 24 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included complaints, notifications from the provider around incidents and safeguarding concerns, and any action plans submitted following the last 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 used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with six members of staff including registered managers, deputy manager and support workers. We also spoke with a professional who acted as an advocate for people to help facilitate smooth transitions between hospitals, specialist neurological rehabilitation services, community services and social care providers.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at four staff files in relation to recruitment. A variety of records such as staff training information, care assessments and communication records were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We reviewed further records relating to the management of the service including quality assurance records and policies and procedures.

Updated 16 March 2022

About the service

Paradise Independent Living is a supported living service providing personal care to people and which focuses on the rehabilitation of people with acquired brain injuries. At the time of the inspection, 16 people were using the service across four supporting living settings.

People in each setting had shared access to a kitchen, a communal lounge/dining area and a garden. Some people had their own en-suite facilities while others had access to communal bathrooms.

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.

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

Improvements had been made around the management of medicines and people received their medicines as prescribed.

People and their relatives told us they received safe care and treatment. Risks associated with people’s care and health were identified and managed in a safe way. There were adequate numbers of suitably skilled staff deployed to meet people’s needs. The service adopted appropriate measures to prevent people from catching and spreading infections. Accident and incidents were recorded, and any lessons learnt were used as opportunities to improve the quality of service.

The service had made improvements around working within the principles of the MCA. 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.

The service assessed people’s needs and delivered care in line with current standards. Staff monitored people’s health routinely and supported them to access healthcare services when required. People were able to choose what they wanted to eat and drink. Staff told us they felt supported by management and received the training required to fulfil their roles.

Following our last inspection, the management team made several changes to their approach to show compliance with the regulations. There was a positive and inclusive culture within the service where people, their relatives and staff felt comfortable to speak up and contribute their views. Quality assurance systems were effective and enabled the management team to monitor their performance, learn continuously and deliver good care to people. The service provided person-centred care to people by working in collaboration with other agencies.

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 requires improvement (published 09 December 2019) and there were breaches of regulations.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 20 and 24 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding service users from abuse and improper treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

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 requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Paradise Independent Living on our website at www.cqc.org.uk.

Follow up

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