14 March 2023
During a routine inspection
Promise House is an extra care service registered to provide personal care support for younger adults and older people, living with mental ill health support needs, dementia, physical and or learning disabilities. Accommodation is provided in 10 individual adapted apartments with shared facilities, including a communal lounge, games room, cinema room and outdoor gym.
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. Not everyone who used the service received personal care. At the time of our inspection the service supported 10 people. Three of those people were in receipt of personal care.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not provide care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Support
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. Risks to people's health, safety and well-being were effectively managed. Staff followed good infection prevention and control practice and people received the support they need to take their medicines as prescribed. When needed people were supported to access health and social care professionals. The management and staff team worked in partnership with other professionals to achieve good outcomes for people. People felt safe when receiving support from staff with whom they had developed meaningful relationships.
Right Care
People’s needs were met through the delivery of care and support tailored to meet their needs and preferences. People's needs were assessed prior to them using the service to ensure these could be met. People were actively involved in planning their care and they received support at their chosen time, for the agreed duration from staff they knew. Staff respected, and their practice promoted and upheld people’s rights. Staff felt valued and supported by the management team and experienced high levels of job satisfaction. People’s preferred methods of communication were known and respected by staff.
Right Culture
The manager led by example. They promoted an open and inclusive culture which had created a welcoming, warm, and friendly atmosphere. People and professionals spoke positively about the way the service was managed and the quality of service provided. Effective systems continually monitored and improved the quality and safety of the service. Action was taken to ensure the provider’s policies and procedures were personalised to the service. Staff were recruited safely and received the training, support, and guidance they needed to fulfil their roles. The manager had developed positive relationships and effective communication systems with people, staff and other professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
This service was registered with us on 24 September 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered with us.
Follow up
We will continue to monitor information we receive about the service , which will help inform when we next inspect