Background to this inspection
Updated
23 May 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 completed by one inspector.
Service and service type
This service provides care and support to people living in eight ‘supported living’ settings, so 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 did not have a manager registered with the Care Quality Commission. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The manager had worked for the provider for a long time and at the time of the inspection, had submitted an application to register.
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.
What we did before the inspection
We looked at information sent to us since the last inspection such as notifications about accidents and safeguarding alerts. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with two people, one relative and observed how staff interacted with people. We also spoke with two care staff, the manager and the operations manager. We looked at a range of documentation including three people’s care files and medication records. We reviewed a selection of documentation for the management and running of the service, including tenancy agreements and three staff files.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at further information relating to safeguarding and incidents.
Updated
23 May 2020
About the service
Foxglove Supported Living Limited provides supported living to people in Hull who may be living with a physical disability, learning disability and/or autism. At the time of the inspection, the service was providing support to 10 people who live in seven houses and one flat within the community. The service was run from an office based in the local area.
The service demonstrated 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
People were kept safe from avoidable harm and abuse. Staff had the relevant skills and knowledge to assess and manage risks to people’s safety and wellbeing. People’s medicines were managed safely. However, the provider’s monitoring systems had not identified some shortfalls in medicine and decision-making records. The manager addressed shortfalls and advised records and monitoring systems would be reviewed and updated following the inspection. The provider had reviewed their quality assurance systems, though the new system needed to be implemented.
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. Though where people had capacity to make decisions, they were not always recorded in the right way.
People were respected as individuals and care was tailored to people’s needs. People chose the staff who supported them and when and received person-centred care. People’s healthcare needs were met. Staff worked closely with relevant professionals, followed professional advice and supported people to follow a healthy, balanced diet.
People accessed a wide variety of meaningful activities and were supported to maintain their relationships with family and friends. People’s independence was promoted as staff encouraged choice, control and inclusion in the local community in line with the principles and values of Registering the Right Support and other best practice guidance. This enabled people who use the service to develop their skills and independence, achieve positive outcomes and live as full a life as possible.
People and their relatives were happy with the care and support provided and were encouraged to contribute to the development of the service. There was a positive culture and staff promoted people’s rights. People accessed a wide variety of meaningful activities and were supported to maintain their relationships with family and friends.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 13 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.