Background to this inspection
Updated
26 February 2016
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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We inspected the service on 14 and 18 December 2015. The inspection was announced on both days. The provider was given 48 hours’ notice because the location provides a supported living service for younger adults; we needed to be sure that someone would be in. The inspection team consisted of two inspectors.
Before our inspection visit we reviewed information we held about the service. This included previous inspection reports, and notifications sent to us by the provider. Notifications tell us about important events which the service is required to tell us by law.
We visited the three supported living projects accompanied by a manager of Future Home Care. Due to the complex communication needs of most people using the service, we mainly spoke to two people using the service who we could verbally communicate with. We observed staff and people’s interactions, and how the staff supported people. Our observations supported us to determine how staff interacted with people who used the service, and how people responded to the interactions. This was so that we could understand people’s experiences. We also spoke with two relatives, seven members of staff including the service manager. We looked at the care records of four people who used the service, people’s medication records, staff training records, three staff recruitment files and the provider’s quality assurance documentation.
Updated
26 February 2016
We carried out our inspection on 14 and 18 December 2015. The inspection was announced on both days.
The service provides support to adults with a learning disability to live independently in the community. They were 11 people using the service at the time of our inspection. Most of the people who used the service had limited verbal communication.
The service had a 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.
People felt safe at Future Home Care. This was because staff understood their responsibilities to keep people safe and how to report any concerns about people’s safety.
There were enough staff to meet people’s assessed needs.
People received their medicines as prescribed by their doctor.
People were not deprived of their liberty. Staff sought people consent before they provided care and treatment. Staff understood the relevance of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards to their work. They supported people in accordance to the MCA.
People were supported with their nutritional and health needs. They had access to a variety of healthy meals that they told us they enjoyed. They also had prompt access to healthcare services when they needed them.
We observed that staff supported people in a caring manner. Staff respected people’s privacy and dignity, and were knowledgeable about ways to ensure that people’s privacy and dignity were protected.
People did not all feel that they mattered because their support was not always centred on them. People did not always feel that staff acted on their views.
The provider had effective procedures for monitoring and assessing the quality of service that promoted people’s safety and continuous improvement of the service.