14 December 2021
During a routine inspection
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.