Background to this inspection
Updated
27 April 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
Three inspectors carried out this inspection.
Service and service type
This service provides care and support to people living in 8 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 were two registered managers in post, each with responsibility to oversee the service at 4 supported living settings.
Notice of inspection
We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.
Inspection activity started on 31 January 2023 and ended on 14 February 2023. We visited the location’s office on 31 January 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed all the information we had received about the service since its registration. We used all this information to plan our inspection.
During the inspection
We visited 11 people in 4 supported living settings to understand their view of the service and speak with their support staff. We reviewed records including care records for 11 people. We spoke with both registered managers and a senior manager.
Updated
27 April 2023
About the service
Advance Hampshire is a supported living service providing personal care to people living in shared or individual accommodation. At the time of the inspection the provider supported 22 people in 8 supported living settings.
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. However the provider’s records did not always support this practice.
Staff supported people to have as much choice, control and independence as they could. However, the quality of supporting records in this area was mixed. Staff supported people to pursue their interests within the limitations of agreed support hours. The service worked to make sure people were supported in a safe, clean environment.
Right Care:
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. The service had enough suitably skilled staff to keep people safe. People who had individual ways of communicating could interact comfortably with staff because staff had the necessary skills to understand them and knew them well.
Right Culture:
Staff knew and understood people, and were responsive in supporting people’s needs. People received good quality care and support because trained staff could meet their needs and wishes. Staff ensured risks of a closed culture were minimised so people received support based on transparency, respect, and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 20 June 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of individual risks. This inspection examined those risks.
Enforcement
We have identified a breach of regulation at this inspection in relation to keeping fit for purpose records about people's care and support. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.