Background to this inspection
Updated
12 July 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
This inspection was carried out by 1 inspector.
Service and service type
This service provides care and support to people living in 4 ‘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 was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used information gathered as part of monitoring activity that took place on 18/10/2022 to help plan the inspection and inform our judgements. 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 used all this information to plan our inspection.
During the inspection
We visited 1 of the supported living settings where 3 of the people who received personal care lived. We observed interactions between people and staff and spoke with 4 people using the service.
We spoke with 4 staff members including care workers, a supported living setting manager and the registered manager.
We reviewed a range of records. This included care records for 3 people and multiple medicines records. We looked at 4 staff files in relation to recruitment and supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures, staff training records, audits, meeting minutes, complaints and staff rotas.
Following our visits to the service, we spoke with the relative of 1 person using the service.
Updated
12 July 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.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
About the service
Angel Support Living (UK) Limited is a supported living service providing personal care to people with mental health needs and people with a learning disability. At the time of the inspection, the service consisted of several supported living settings located in and around London.
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 the inspection, the registered manager reported 32 people were using the service, out of whom 4 people received personal care.
People’s experience of using this service and what we found
Right Support:
Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
People were supported by staff to pursue their interests.
Staff enabled people to access specialist health and social care support in the community. Staff supported people with their medicines in a safe way and achieved the best possible health outcome. Staff supported people to play an active role in maintaining their own health and wellbeing.
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:
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff also promoted equality and diversity in their support for people.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff and people cooperated to assess risks people might face.
People’s care and support plans reflected their range of needs, and this promoted their wellbeing and enjoyment of life.
Right Culture:
People received good quality care and support because staff were trained and received appropriate support from their managers. Managers and staff created and open and inclusive culture.
Staff knew and understood people well and were responsive to their individual needs. People and those important to them, including advocates, were involved in planning their care.
Managers evaluated the quality of support provided to people, involving the person and those important to them. Managers sought support from other agencies to support people achieve good outcomes.
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 1 October 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.