About the service Magdalene Court is a supported living service registered to provide personal care and support for people with a learning disability and/or autistic people. This service assists people to live in self-contained flats with staff on site to provide support when required and scheduled. Staff have an office and facilities on site and provide 24 hour cover. At the time of the inspection the service was providing personal care to four older people with a learning disability.
People’s experience of using this service and what we found
There were enough staff to support people safely and medicines were safely managed. There were robust systems to safeguard people from abuse. Safe recruitment processes were being followed to make sure staff were suitable for their roles and responsibilities. Cleaning and infection control procedures had been updated in line with COVID-19 guidance to help protect people, visitors and staff from the risk of infection. Government guidance about COVID-19 testing for people, staff and visitors was being followed.
Risks to people's health, safety and welfare were identified and managed safely. Staff ensured people's needs were consistently met and assessed to enable improvements and progress in their lives. Staff received a comprehensive induction and ongoing training to enable them to support people safely. There were effective systems for communication both at the service, and with other agencies to ensure people received the care they needed.
People were supported to eat and drink sufficient amounts to meet their needs. When required, staff supported people to access a range of healthcare professionals. The service worked with specialist learning disability teams to provide effective joined up care. Quality assurance processes were robust and provided oversight of the service.
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.
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 statutory guidance which supports CQC 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 the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people's choice, control and Independence. People were supported to live as independently as possible at a service which encouraged and inspired people to live full lives. Staff supported people to make choices and to remain connected with their family, friends and the local community.
Right care:
• Care is person-centred and promotes people's dignity, privacy and human rights. People's flats were respected by staff as their homes. People were supported to lead full and active lives and to take part in activities that were meaningful to them. Staff were caring and spoke very fondly of the people they supported. They knew people really well and spoke respectfully about them. People and their relatives were listened to and their choices were respected. Where people did not use words to communicate, care records included information about how they expressed their needs, choices and preferences.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. Staff described a positive culture where learning was encouraged. We received positive feedback in relation to the care people received and how the service was run.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 25 November 2019 and this is the first inspection. Previously this was one of many supported living sites the provider had registered under one supported living location. The provider has now registered each site as a separate location.
Follow up
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.