Support for Living Limited - 19 Haymill Close Shortbreak Service

Updated 4 March 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was conducted by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Support for Living Limited - 19 Haymill Close Shortbreak Service is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Support for Living Limited - 19 Haymill Close Shortbreak Service is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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

We gave the service 48 hours’ notice of the inspection. This was so staff could inform people who may be using the service to help mitigate the risk of this causing them distress. Inspection activity started on 13 January 2023 and ended on 30 January. We visited the service on 17 January.

What we did before inspection

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

During the inspection

We spoke with 4 staff, including a support worker, a deputy manager, the registered manager and the area manager. We reviewed a range of records relating to the management of the service including health and safety, monitoring, incidents and meeting records. We looked at 3 people’s medicines support records and care and risk management plans. After our visit we spoke with 8 relatives of people who had used the service for planned or emergency stays and 3 professionals who have worked with the service recently. We continued to seek clarification from the provider to validate evidence found.

Updated 4 March 2023

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

Support for Living Limited - 19 Haymill Close Shortbreak Service is a residential care home providing short stay accommodation for adults with a learning disability and autistic people living in the London Borough of Ealing. The service provides periods of planned and emergency respite care to people throughout the year, commissioned by the London Borough of Ealing.

Up to 7 people can stay at the service at any time. On the day of the inspection 3 people were staying at the service.

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

Right Support

Staff supported people with their medicines safely. Staff worked with other agencies to support people’s needs. There were infection prevention and control arrangements in place. People were supported by staff to pursue their interests. Staff supported people to achieve their aspirations and goals. The service worked with people to plan for when they experienced periods of distress and to support them safely at such times.

Right Care

People received person-centred care and support. Staff knew and understood people and responded to their individual needs. Staff had training on how to recognise and respond to safeguarding concerns. The service worked with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff communicated with people in ways that met their needs. People's support plans reflected their preferences and needs to promote their safety and wellbeing.

Right Culture

The provider operated monitoring processes to help ensure people consistently received good quality care and support. Whilst some care records were not always consistently clear or detailed enough, this did not impact on the quality of care provided. We discussed this with the registered manager so they could make the necessary improvements and they responded to this promptly. People and those important to them were involved in planning their care. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. Staff and managers knew and understood people well and were responsive to their support needs. The provider had a clear vision for the service based on improving people's quality of life and staff worked to make this happen.

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

Rating at last inspection

The last rating for this service was good (published 10 May 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home 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. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Support for Living Limited - 19 Haymill Close Shortbreak Service on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.