Background to this inspection
Updated
12 March 2020
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
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in two ‘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 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.
Notice of inspection
We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.
Inspection activity started on 13 February 2020 and ended on 18 February 2020. We visited the office location on 13 February 2020 and visited people in their houses on 14 and 18 February 2020.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff and sought feedback from professionals who were familiar with the service. We have not received feedback from the professional at the time of writing the report. We reviewed a range of records including each person’s medicine record and each person’s care plan. In addition, we looked at records of the way the service was run.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality audits and safety checks.
Updated
12 March 2020
About the service
Lovely Rose is a supported living service. The service provides personal care and support for people with learning disabilities and physical and sensory impairment.
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. At the time of our inspection the service supported five people who lived in two domestic properties and were being supported with personal care by the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Relatives and people we spoke with were positive about the care provided. One relative said, “I have got nothing but praise for them they do a great job”. People told us the service supported their needs well. One person told us how they had become more independent since they joined the service.
People were able to access healthcare services to promote their health. 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.
Robust recruitment procedures were in place to make sure staff were of good character and suitable to work in the service. Staff received training to enable them to carry out their role effectively. Staff received regular supervisions to identify any training requirements.
Medicines were managed in line with good practice guidance. Records we saw indicated people using the service received their medicines as the prescriber intended. Medicines were stored safely in locked cabinets in people’s houses.
Risk assessments were in place to ensure people were safe from harm and management plans were in place in response to ongoing risk. Environmental risk assessments were carried out which meant people and staff were living and working in a safe place. Some staff provided 24-hour support and stayed overnight at one house.
Care plans were individualised and reflected people’s current support needs. Audits were carried out by the registered manager to ensure the quality of the service was maintained.
The service applied the principles and values (consistently) of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 7 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.