Background to this inspection
Updated
16 April 2021
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
This service provides care and support to people living in two ‘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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
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.
We met the registered manager at the office location on the 19 January 2021 and visited one of the supported living settings on the 21 January. We made calls to relatives and staff on the 29 January 2021.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We reviewed a range of records. This included two people’s care records and associated documents and included one person’s medicines records. We looked at three staff files in relation to recruitment and staff supervision. In addition, a variety of records relating to the management of the service, including policies and procedures were reviewed.
During our visit to one of the supported living schemes on the 21 January 2020 we spoke with the registered manager, the care co-ordinator and a care worker. We met and spoke with two people who used the service and we undertook a partial inspection of the premises.
After the inspection
Following our site visit we telephoned and spoke with three family members about their experience of the care provided. We also telephoned and spoke with five care workers. We wrote to three health and social care professionals two of whom responded to us. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
16 April 2021
About the service
Maya Supported Living Limited provides a service to eight younger adults with learning disabilities or autistic spectrum disorder some of whom require support to maintain their mental health.
People live across two supported living settings. Five people live in one house and three in another house. In both settings people had their own bedroom and shared communal bathing facilities, a kitchen/dining area, lounge and garden. The provider’s office was situated at a separate location registered with the CQC.
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 our inspection three people were receiving personal care.
People’s experience of using this service and what we found
We found the provider had systems, policies and procedures to ensure the safe management of the service. They undertook monitoring and checks. They had good lines of communication with both people and their relatives.
There were adequate staff to meet people’s support needs and staff were provided with training and support to equip them to undertake their caring role.
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 supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, 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 providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and independence
At the time of the inspection the provider applied the principles and values of right support, right culture and right choice. Care plans reflected people’s preferences and staff gave people choices and respected their decisions. The support was offered in a manner which promoted individual supported daily living, social and educational activities. The service promoted independence and people's support focused on them gaining new skills and become more independent.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human Rights
People had person centred care plans. Staff provided person centred care and worked in a manner to maintain people’s dignity and privacy. They promoted people’s human rights and recognised the importance of supporting people to maintain virtual contact with family members throughout the COVID-19 restrictions.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
The provider supported people’s rights and encouraged people to be part of the local community. They promoted activities and education so people could lead a full and empowered life. Those people who stayed within their home were supported to enjoy activities which were meaningful to them and encouraged to make choices in their everyday life.
Why we inspected
This service was registered with us on 10/11/2018 and this is the first inspection. This service has been rated good.
We looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk