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.About the service
SeeAbility - Kent Supported Living is a supported living service. At the time of the inspection two people were receiving the regulated activity of personal care. The service supported people with a learning disability and autistic people. Staff provided each person with support for life skills and with their individual health and wellbeing needs. This included specific communication requirements and support with emotional, physical and sensory needs.
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 lived in their own separate homes and had their own tenancy agreement. Staff provided one to one support and were available 24 hours a day.
People’s experience of using this service and what we found
Since the service registered with the Care Quality Commission in January 2021 there had been a lot of staff changes. The registered manager had left and so had a lot of the original support staff. The manager and some of the staff team were new to the service. Relatives and staff told us, this had been an unsettling time for people and people were now getting to know the new staff. Relatives and staff did say improvements were being made and they hoped communication, support and guidance would continue to develop. They felt confident that the new manager would do this. The new manager had identified the shortfalls and plans were in place to address these shortfalls.
Right Support
Staff supported people to have choice, control and independence. Staff focused on people’s strengths. They developed and promoted what people could do and supported them to develop new skills, so they had a fulfilling and meaningful everyday life.
Staff supported people to take their medicines as prescribed by their doctors. Staff supported people to play an active role in maintaining their own health and wellbeing.
Right Care
Care was person-centred and promoted people's dignity, privacy and human rights. People received kind and compassionate care. Staff understood and responded to their individual needs. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.
Staff understood how to protect people from poor care and abuse. The service worked with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
People's care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Some relatives did say they would like their ‘loved one’ to be involved in more meaningful activities.
Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.
Right culture
Ethos, values, attitudes and behaviours of the manager and staff we spoke with ensured people using services lead confident, inclusive and empowered lives. Staff and the management team ensured that people were at the centre of the delivery of care. People were treated as individuals whose life and experiences were considered and factored into care planning.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating
This service was registered with us on 21 January 2021 and this is the first inspection.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of right support, right care and right culture.
We looked at infection prevention and control measures under the Safe key question. We look at this in all supported living inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.