Rehability UK Surrey

Updated 11 June 2021

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

Rehability UK Surrey provides care and support to people living in a ‘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 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.

What we did before the inspection

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 reviewed information we had received about the service since the last inspection. We used all of this information to plan our inspection.

During the inspection

We visited the office location and met with the registered manager. We reviewed a range of records relating to the management of the service, including policies and procedures, health and safety arrangements, medicine management and infection control procedures. We looked at one person’s care records and medicines records, as well as three staff files in relation to recruitment and supervision. We visited the supported living setting and spoke with one person who lived there, two staff who supported them, the regional manager and a visiting healthcare professional.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 11 June 2021

About the service

Rehability UK Surrey is a supported living service providing personal care to adults with mental health needs, people with a learning disability and/or autism. People live in a house shared with up to 12 people, each with their own rooms. There were six people living there at the time of the inspection, one of whom was receiving a regulated service. There is a staff team based in the house which provides 24 hour support to people.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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

People told us they felt safe. There were safeguarding adults' procedures in place to guide staff. The registered manager and staff had a clear understanding of these procedures. There were appropriate recruitment checks before staff started work and there were enough staff available to meet people's care needs. Where required people received safe support from staff to take their medicines.

The provider and staff were following government guidance in relation to infection prevention and control. Staff had received training on COVID-19 and the use of personal protective equipment (PPE). The service had business continuity and COVID-19 contingency plans in place that made provisions for safe care in the event of an emergency, or an outbreak of COVID-19.

The provider carried out an assessment of people's care needs before they started using the service to ensure staff could support them safely. Staff had received training relevant to people's needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's views were continually sought, and they were encouraged to be as independent as possible and to be involved in decisions about their care.

People told us they were treated in a caring and respectful manner and they had been consulted about their care and support needs. They knew how to make a complaint if they were unhappy with the service.

There were effective systems in place to regularly assess and monitor the quality of the service people received. Care staff told us they received good support from the registered manager. The registered manager took people’s views into account through regular meetings. The registered manager and care staff worked with health care professionals to plan and deliver an effective service.

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.

Right support:

• People were supported to live within a setting that met their individual needs. Staff encouraged people to make day to day choices, including around food, activities and community access. The provider engaged with local healthcare and commissioning partnerships in order to provide the best care possible.

Right care:

• Care was provided in a person-centred way which promoted people's dignity and rights. Staff understood people's specific care needs and preferences and supported them in according to those wishes. People told us they felt respected and any personal care required was done so discretely and the person's dignity was not compromised. Staff enabled people to make choices about how they wished to be supported in their day to day living.

Right culture:

• There was a positive culture where the leadership team and staff showed commitment to those whom they supported. They spoke with passion and knowledge about their role, central to which was to empower people to live the best life possible in the least restrictive way. Staff told us their vision was to support people to lead as fulfilled a life as possible and to become a valued part of whatever community they move on to.

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

Why we inspected

We undertook an inspection to review the key questions of safe, effective, caring, responsive and well-led. This was because the location had not been inspected since it was first registered with CQC on 24 October 2019.