Background to this inspection
Updated
28 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
This inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in 'supported living’ setting, 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 the service 48 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be available to support the inspection. We also needed to be sure that people using the service were prepared for our visit to reduce any potential anxiety that may have been caused.
The inspection activity started on 11 March 2020 and ended on 18 March 2020. We visited the office location on 11 and 13 March and visited three supported living houses on 12 March 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We had not asked the provider to complete 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. We used the information we had to plan our inspection.
During the inspection
We spoke with nine people who used the service and three family members about their experience of the care provided. We spoke with seven members of care staff and the registered manager and deputy manager.
We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate some evidence found in relation to the outcomes of people using the service. We received feedback from four professionals who regularly worked with the service.
Updated
28 May 2020
About the service
Duva Mews provides care and support to people in their own homes in the Wigan, Leigh and Golborne areas. The service supported people with learning disabilities, physical disabilities, autism and/or mental health needs. During this inspection 21 people were receiving support with personal care.
People using the service lived in a ‘supported living’ setting either in their own flats, one bedroom houses within an apartment block or houses within the local community. They received support from staff over a varied number of agreed hours and had access to support 24 hours a day. A separate staff office was located within the apartment block.
People’s experience of using this service and what we found
Everyone involved in the running of the service exuded passion for delivering care that was person-centred and gave people a meaningful life. Staff went above and beyond to provide people with positive outcomes and experiences. People were consistently placed at the heart of the service.
People’s lives had greatly improved due to the consistent support they received from staff. Achieving desired outcomes, supporting people to learn new skills and live more independently and providing truly individualised care and support was central to care planning and delivery.
It was evident the values held by staff had been cascaded down from the provider and registered manager who showed great passion for making a difference to people’s lives. There was a strong emphasis placed on empowering people and involving them in the running of the service. The registered manager had been highly praised by professionals for their person-centred care, collaborative working and the impact this had on people’s health and well-being.
Staff spoke highly of the support, encouragement, knowledge and passion of the registered manager and told us how proud they were of the achievements people had made with their support. They spoke about people and their role with fondness and genuine commitment.
People told us they felt safe with the staff who supported them. Staff knew how to recognise abuse and were confident reporting safeguarding concerns. Risks to people had been identified and plans were in place to manage these. There were enough staff on duty with the right skills, knowledge and experience to meet people’s needs.
The service applied the principles and values of Registering the Right to support (RRS) 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 these principles. People’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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.
People’s needs had been holistically assessed and guidance was in place for staff to follow to ensure they delivered effective care and support. Staff received a detailed induction and on-going practical training to ensure they maintained the right skills to provide effective care and support. Staff spoke highly of the training and support they received.
People were supported to live healthier lives. They were supported to access health care appointments and staff helped them follow any guidance given by health and social care professionals in relation to their and well-being.
People and family members spoke highly of staff and how kind and caring they were. Staff took time to chat and get to know them and it was evident positive relationships had been developed. People were treated with dignity and respect and staff understood the importance of keeping information private.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the first inspection since the service was registered with CQC on 15 March 2019.
Why we inspected
This was a planned inspection based on the inspection schedule for newly registered services.
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.