Kettonby Care Supported Living Group

Updated 8 January 2022

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 carried out by one inspector.

Service and service type

This service provides care and support to people living in one of four bungalows, set within a separate complex within the grounds of a care home, 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.

Notice of inspection

This inspection was announced. We gave the service 24 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.

Inspection activity started on 14 December 2021 and ended on 22 December 2021. We visited the office location on 14 December 2021.

What we did before the inspection

We reviewed information we had received about the service since its registration. We sought feedback from the local authority. We used the information the provider sent us in 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. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager and care co-ordinator when we visited the office. We spoke with two family members and received information via e-mail about their experience of the care provided to their relative. We spoke with three members of staff by telephone.

We reviewed a range of records. This included three people’s care records and a medication record. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service.

Updated 8 January 2022

About the service

Kettonby Care Supported Living Group is registered to provide personal care to people living in supported living accommodation. People using the service live within one of four single occupancy bungalows and have a shared garden. The bungalows are located on the grounds of a care home; however, they do not share facilities. A majority of staff support people in both settings. The service supports autistic adults and adults with a learning disability. There were 3 people being supported at the time of the inspection.

People’s experience of using this service and what we found

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 was able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture.

A family member shared their views as to the impact their care and support had on their relative. ‘The staff genuinely care and do everything they can to make their lives happy. We can see how happy [relative] is when we visit and the staff that work with them know [relative] really well and are confident to try new things with them. We are very happy with the care that [relative] receives and they are much happier and calmer, [relative] has a life now and is made to feel like they matter.’

Right support:

People’s needs had been assessed which included seeking the views of family members and social care providers who had knowledge of their needs. There had been a tailored approach to supporting people’s move into supported living accommodation, which had been gradual, to maximise a positive experience and was supported by information in a format to support their understanding.

Staff worked with people to plan for when they experienced periods of distress or anxiety, so they received the support they needed to maximise choice and control. Staff enabled people to access health and support, which included reviews of medicine prescribed. Staff supported people to take part in activities and pursue their interests in a planned way to reduce potential risk to the person, and support in a way to maximise, their participation, enjoyment and independence.

Staff’s consistent approach towards support had helped people to better manage their anxiety and distress, by expressing themselves through effective communication. Staff’s support had a positive impact on people’s independence, enabling them to develop key skills through their enjoyment and participation in everyday activities both within their home and when out about in the local area.

Staff supported people to make decisions following best practice guidance, which included assessing people’s capacity to make informed decisions involving family members and health and social care professionals, supported by best interest decisions.

Right care:

People received kind and compassionate care. Potential risks had been assessed and clear guidance was in place for staff to follow to reduce risk. Staff understood how to protect people from poor care and abuse. The staff worked well with other agencies to do so. Staff had training on how to recognise and report abuse. There were enough appropriately skilled staff to meet people’s tailored needs and keep them safe. The gender and number of staff was tailored to meet individual need, considering the activity in which people were to take part.

People’s records provided comprehensive information about all aspects of people’s care and support, which included communication passports, this enabled staff to respond to people in a timely way, promoting their dignity when they became anxious or distressed. Staff understood and responded to people’s individual needs, and the support plans reflected their range of needs, which promoted their wellbeing and enjoyment of life.

Right culture:

The registered manager worked hard to evaluate the quality of support provided to people, involving the person, their family members, staff, and other professionals as appropriate. The registered manager and staff had embraced the values and visions of the provider, which enabled people to lead a rewarding lifestyle. Staff recognised and celebrated people’s achievements, which were shared with family members. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 10 October 2019 and this is the first inspection.

Why we inspected

This was a planned inspection. We undertook this inspection to assess that the service is applying the principles of 'Right support, Right care, Right culture'.

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.