Background to this inspection
Updated
30 June 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 1 inspector.
Service and Service Type
Clarendon Wellbeing House provides care and support to people living in a shared house. The provider has one 'supported living' setting. 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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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
The provider was given 20 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 service to support the inspection.
Inspection activity started on 31 May 2023 and ended on 12 June 2023. We visited the supported living on the 31 May 2023, 06 June 2023 and the 14 June 2023.
What we did before the inspection
We reviewed information we received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with the registered manager and the nominated individual. We reviewed a range of records. This included 4 people’s care plans, which included risk assessments, 4 recruitment records, 2 quality audits, 3 daily records, and staff training records. We spoke with 1 person and 3 relatives of people that used the service and 4 care staff.
We reviewed a variety of records relating to the management of the service, including policies and procedures, staffing rotas, accident and incident records and safeguarding records.
Updated
30 June 2023
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
About the service
Clarendon Wellbeing House is a 'supported living' service that provides personal care to people who have a learning disability and autistic people. The service accommodates a maximum of 4 people. At the time of our inspection, there were 4 people living in the supported living setting. Each person has their own room with a shared lounge, garden, kitchen and dining area. The service provides 24-hour staff support. Most of the staff team had been working at the service since the service began in 2019 and everyone knew each other well.
People's experience of using this service and what we found
Right Support:
Staff supported people to achieve people’s aspirations and goals and focused on their strengths, this helped people to develop and learn new skills. Staff also supported people to have a choice about their living environment and were able to personalise their rooms.
There were appropriate amount of trained staff working at the service, which met people's individual support needs. The provider ensured that staff were recruited safely and had the right skill mix to support people who used the service. Staff supported people with their medicines and promoted people’s independence as much as possible. The service also took measures to help prevent the spread of infections.
People who used the service 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.
Right Care:
Staff understood people’s cultural needs and provided culturally appropriate care. People spoke positively about the service and told us that they were treated with kindness and their privacy was respected.
People's support plans and risk assessments were well detailed and written in a person-centred way that people understood. Relatives were very positive about the service that people received.
People were supported to take part in activities and interests that were tailored to them. The staff supported people with new opportunities and to try new activities.
Right Culture:
People told us that they felt inclusive and empowered because of the attitudes and behaviours of the management and staff team. People received good quality care and support, as staff were trained to meet people’s needs and wishes.
The staff turnover at the service was low, which supported people to receive consistent care from staff who knew them well. People and those important to them, were involved in planning their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
We last inspected this service on 4 November 2021 where it was rated requires improvement. (Published 10 March 2022). 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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from Requires Improvement to Good based on the findings of this inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Clarendon Wellbeing House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.