CSL Head Quarters

Updated 16 June 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 Care Act 2014.

Inspection team

One inspector carried out this inspection

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.

The service had a manager 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. 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. The inspection took place on 28 April 2022.

What we did before inspection

We reviewed the information we held about the service including notifications we had received. 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 this information to plan our inspection.

During the inspection

We communicated with three people who used the service and three relatives about their experience of the care provided. Not everyone using the service could clearly communicate verbally. People who used the service who were unable to talk with us used different ways of communicating including using pictures, symbols, objects and their body language. We used the Short Observational Framework for Inspection (SOFI) and spent time observing people. SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with three members of support staff, the registered manager and nominated individual.

We reviewed a range of records. This included four people’s care records and five medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 16 June 2022

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

Compass Supported Living and Domiciliary Care Limited provides care and support to people living in a supported living setting. At the time of the inspection five people were living in individual flats on one site that had been adapted to meet their needs. CQC does not regulate premises for supported living; this inspection looked at people’s care and support.

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

We found the outcomes for people using this service reflected the principles and values of Right support, Right care, Right culture. These included promotion of choice and control, inclusion and independence. People’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Right support

The environment was designed and adapted to meet people’s needs. People lived with others who had similar support needs. People received support and care to meet their individual needs. Staff supported people in a way that promoted their independence. People were supported to keep safe. Risks to people were assessed and management plans were in place to address identified risks. Staff supported people to take part in activities they enjoyed; and to follow their interests and goals. Staff communicated with people in the way they understood. People and their relatives were involved in making decisions about their care and support.

Right care

People received compassionate care and support. Staff knew people well and were kind and understanding towards them. Staff protected and respected people’s privacy and dignity. People expressed themselves freely and staff responded to their individual needs. Staff supported people with their emotional needs and provided reassurance to people as needed. People had control over how they spent their day. They had a choice about how their day-to-day care was delivered. Staff liaised with a range of healthcare services to maintain people’s health.

Right culture

People received care and support tailored to their individual needs. The service was committed to providing good quality care to people. Staff understood the organisation’s objectives and job roles. People and their relatives were involved in planning their care. There were adequate systems and processes in place to safeguard people from abuse. The registered manager understood their responsibilities to safeguard people and deliver an effective service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There were enough staff to support people safely. Robust recruitment checks were completed for new staff. Staff were trained and supported in their roles. People’s medicines were managed safely. Staff followed infection control procedures and guidelines.

The registered manager and staff worked in partnership with other organisations to meet people’s needs and to develop the service. The quality of the service was regularly assessed and monitored to ensure it was effective and safe. There were systems in place to report incidents and accidents; and to learn from them.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support, right care right culture.

Rating at last inspection

This service was registered with us on 3 September 2019 and this is the first inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.