Background to this inspection
Updated
2 February 2023
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 1 inspector.
Service and service type
This service provides care and support to people living in ‘supported living’ settings, 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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was announced.
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.
Inspection activity started on 12 January. We visited the location’s office, and supported living location on this date.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We visited a supported living location and met and spoke with 5 people who were being supported by the service. We spoke with 2 staff members, the registered manager, and the operations manager. We also sought feedback from relatives of people who used the service via email. We looked at various documents including care plans, risk assessments, training records, and staff recruitment files.
Updated
2 February 2023
About the service
Adjuvo Leicester is registered as a domiciliary care agency who provide care and support to people living in supported living properties. 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. At the time of inspection 6 people received personal care support in a supported living setting for people with learning disabilities and autism.
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.
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.
People received support to maintain an environment that was suited to their needs and preferences. The provider supported some people who lived in their own flats and apartments, and some people who had their own rooms in a shared house.
Staff supported people to make decisions following best practice in decision-making. People were
supported to carry out their daily living activities and pursue their hobbies and interests.
Staff supported people to access health and social care services. Staff supported people with their
medicines safely and in their preferred way.
Right Care:
People received care that was person-centred, privacy, dignity and human rights were promoted.
Staff understood each individuals communication ability, and communicated with people in ways that met their needs.
People received kind and compassionate care. Staff understood and responded to people's individual needs. Feedback from relatives was positive, and they felt their family members were well cared for.
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The service employed skilled staff to meet people's needs and keep them safe.
People's care plans reflected their needs and wishes and promoted their wellbeing. Risks that people may face were appropriately managed.
Right Culture:
The ethos, values, attitudes and behaviours of the registered manager and staff team ensured people lead confident, inclusive and empowered lives.
People received good quality care and support because trained staff could meet their needs and wishes.
People and those important to them, including social care professionals, were involved in planning their care. The registered manager and the staff team ensured people received support based on best practice, respect and inclusivity.
This service was registered with us on 26 August 2021 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk