22 July 2022
During a routine inspection
Precious Homes East London is a supported living service providing personal care to people living with autism or a learning disability. At the time of our inspection there were nine people using the service. The service was provided to people in their own self-contained flats within two buildings.
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.
People’s experience of using this service and what we found
Right Support:
The model of care and the setting maximised people’s choice, control and independence. People lived in their own flats where they felt safe and comfortable. Care and support was provided in a safe, clean and well-maintained environment which met people’s sensory and physical needs. Staff supported people to achieve their goals and aspirations. People were encouraged to make choices and decisions in accordance with their level of understanding.
People were supported by enough appropriately skilled staff to meet their needs and keep them safe. People’s risks were assessed in a person-centred way. Care plans and risk assessments were regularly evaluated, involving the person, relatives and other professionals as appropriate. People who may become anxious or distressed had proactive plans in place to reduce the need for restrictive practices. Systems were in place to report and learn from any incidents where restrictive practices were used.
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.
Right Care:
Care was person-centred and promoted people’s dignity, privacy and human rights. People were protected from abuse and poor care. Staff demonstrated they provided kind and compassionate care to people and relatives. Relatives confirmed that they were included in decision making about their relative’s care. People were supported to maintain their privacy, dignity and independence by a staff team who knew them well. The provider had a system of matching the skills and qualities of staff to the people who used the service.
People had their communication needs met and information was shared in a way that could be understood. People were supported to maintain links with their culture and family. Staff engaged people in activities in accordance with their individual care plans. Support focused on people’s quality of life and followed best practice.
Right Culture:
The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives. The manager had an open door policy and relatives and staff spoke positively of the managers in the service. Relatives and staff told us they felt comfortable raising concerns and making suggestions to enable improvements to be made to the service.
Managers ensured that staff had relevant training, supervision and appraisal. Governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs. People, relatives, staff and other professionals were asked by the provider about their opinions of the service. Staff worked well with other services and professionals to improve outcomes for people.
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 20 June 2019)
Why we inspected
This inspection was carried out due to concerns raised by the local authority regarding the safe care and treatment of people. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe section of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.