We carried out a review of the data available to us about Priory Supported Living West Midlands on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Priory Supported Living West Midlands, you can give feedback on this service.
Priory Supported Living is a supported living service providing personal care to 36 people in their own homes, including adults with a learning disability and/or autistic spectrum disorder. Not everyone using the service received a regulated activity. The Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection visit the service supported 17 people with personal care.
People’s experience of using this service and what we found
Systems and processes for safeguarding and whistleblowing to keep people safe were effective. People had person-centred risk assessments in place and told us they felt safe in the service. When things went wrong the provider had learned lessons and developed improved systems. We found people’s needs and preferences were met by a sufficient number of staff. People’s medicines were safely managed. Staff understood and followed current government infection control measures.
People were encouraged to make choices; their needs were assessed, and care was reviewed regularly. Staff received training in relation to the needs of the people. Staff worked with a range of professionals involved in people’s care. People were supported to attend regular health appointments and supported to eat healthily and maintain fluids.
We found the manager and staff to be caring which ensured a person-centred approach to the people living in the service. People’s views were sought with equality, privacy and dignity being promoted.
People, and relatives, were involved in their care and supported to maintain their identity. Care was person-centred with people's privacy, dignity and equality maintained. Care was personalised and people are supported to communicate effectively, complaints were recorded and managed.
The manager had embedded the processes to monitor all records and improve oversight of the service. The staff and manager understood their responsibilities to keep people safe. The manager developed the staff team to meet the needs of people. The manager provided a good level of care through robust quality assurance and audit programs.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service could show how they met the principles of right support, right care, right culture.
The ethos, values, attitudes and behaviours of the management and staff provided support in the way each person preferred with a view of individual development. The needs and quality of life for people was clear. Staff provided care that was person centred and directed by each person. Staff felt valued and empowered through inclusion in the development of people’s care to suggest improvements and question poor practice.
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 January 2020) and there were two breaches of regulation. 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
The inspection was prompted in part due to concerns received about management of finances, absence of a registered manager and support not meeting a person’s needs. A decision was made for us to inspect and examine those risks.
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.
Craegmoor Supporting You in the Midlands is a supported living service. It is registered to provide personal care to people in their own homes, including adults with a learning disability and/or autistic spectrum disorder. Not everyone using the service received a regulated activity. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection visit the service supported 12 people with personal care.
People’s experience of using this service
At our previous inspection visit in February 2019 we found staff had not been adequately supported to ensure they received training the provider deemed as mandatory. At this inspection we checked that staff training was up to date, and staff received re-training to keep their skills up to date.
People felt safe using the service and staff understood how to recognise and report abuse. However, risk assessment and risk management plans were not always kept up to date to ensure people received safe care and treatment.
Staff recruitment processes included background checks to review their suitability to work with vulnerable adults. People received support from staff when needed and were supported to have their medicines by appropriately trained staff.
The service was aware of the values that underpin the Registering the Right Support and other best practice guidance. The values shown included choice, promotion of independence and inclusion. People with learning disabilities and autism using the service could live as ordinary a life as any citizen.
There was a registered manager at the service at the time of our inspection visit. The registered manager, senior managers and the provider worked in partnership with outside agencies to improve people’s support when required. There were improved checks in place to make sure the service provided a quality service.
Rating at last inspection
The last comprehensive inspection report for Craegmoor Supporting you in the Midlands (published March 2019) we gave a rating of requires improvement overall, with a rating of requires improvement in safe, effective and well led. We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations, 2014. At this inspection we found the service had made some improvements and were no longer in breach, but we have continued to rate the service as requires improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Why we inspected
This was a focussed inspection to ensure the service was meeting people’s needs, that staff had the necessary skills and experience and the management processes were effective. We reviewed the key questions of safe and well led only.
We looked at a notification of a specific incident where a person had developed an injury. This incident is currently being investigated. As a result, this inspection did not examine the circumstances of the incident. The information CQC received about the incident indicated concerns around the management of risks to people. This inspection examined those risks.
Ratings from previous comprehensive inspections for other Key Questions were used in calculating the overall rating at this inspection. The overall rating for the service has not changed and remains requires improvement overall. This is based on the findings at this inspection.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
Craegmoor Supporting You in the West Midlands provides personal care to people living in their own houses and flats in the community. Not everyone using the service received a regulated activity. Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; 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 was providing personal care to eleven people with a learning disability and/or physical health needs.
People’s experience of using this service:
The service met the characteristics of requires improvement in three out of the five key questions.
Staff had not been adequately supported to ensure that they received training the provider deemed as mandatory. Staff had not always received supervision in line with the organisation’s policy and evidence to show induction completed by staff was missing. We made recommendations in relation to seeking consent and good governance.
The systems for checking staff suitability to work with vulnerable adults was not consistently followed. Gaps in employment history had not been adequately explored for one staff member. We have made a recommendation in relation to safe recruitment practices.
The service was aware of the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People were assisted to have maximum choice and control of their lives and consent had been sought.
People liked using the service. We received positive feedback from people and their relatives.
People were protected against abuse, neglect and discrimination. Staff ensured people's safety and acted when necessary to prevent any harm.
Staff spoke passionately about their roles and wanting to provide quality care. We saw evidence staff went the extra mile to enhance people’s well-being and help them fulfil their wishes.
Assessments had been carried out before people started using the service. Care records were comprehensive, and person centred. Reviews had been undertaken with the involvement of people and their relatives. Staff knew people well. They had developed good relationships with people.
There was good evidence that equality and diversity had been considered, in particular around those with protected characteristics such as culture, race, disability and religion.
There were systems to support good governance and the monitoring of the service. However, these had not been adequately implemented to ensure compliance with regulations.
Rating at last inspection: This inspection was the first inspection since the service was re-registered with the Commission in September 2017. The service had been registered at a different location.
Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Enforcement: Information relating to the action the provider needs to take can be found at the end of this report.
Follow up: We will continue to monitor the service to ensure that people received safe, high quality care. Further inspections will be planned for future dates. We will follow up on the recommendations we have made at our next inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk