Archived: Changing Lives UK

Updated 27 May 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 20 January 2016 and was unannounced. The inspection was carried out by one inspector.

Prior to our inspection, we reviewed the information we held about the service, which included notifications. Notifications are changes, events or incidents that the registered provider must inform CQC about. We contacted commissioners and asked them for their views about the service. Commissioners are people who work to find appropriate care and support services which are paid for by the local authority.

We spoke with one person who was living at Changing Lives UK. After the inspection we spoke to one external health and social care professional. We spoke with one person using the domiciliary care service. After the inspection we spoke with two relatives by telephone and a second relative emailed us feedback. Their family members received support in their own home. We spoke with the registered manager who is also the provider, as well as the team leader who is another provider. We were unable to speak to other staff working at the service.

We looked at the care records for one person living at the care home and care records for another person who was receiving support in their own home. This included looking at their plans of care to check that they were receiving the care they needed. We looked at two recruitment and training records. We looked at records in relation to the maintenance of the environment of the care home and equipment. We viewed other records which related to the management of the service including the quality assurance systems, policies and procedures.

Updated 27 May 2016

The inspection focused on two different service types which operate from the same premises. The first being a residential care home and the second being a service offering support to people living in their own homes.

This inspection took place on 20 January 2016 and was unannounced.

Changing Lives UK is situated in the Littleover area of Derby and provides a care home service for up to two adults. The home specialises in caring for older people and people with Learning disabilities. At the time of this inspection there was one person living at Changing Lives UK. The provider is also registered to provide a domiciliary care service. At the time of our visit five people were receiving this service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

The provider ensured staff understood how to protect people from abuse and were responsive to their needs. People were protected against the risk of abuse, as pre-employment checks were made to confirm staff were of good character to work with people. There were sufficient staff available to meet people's needs. The registered manager and the team leader were also the providers and main care staff.

People received their medicines as prescribed and safe systems were in place to manage people’s medicines.

Risk assessments and care plans had been developed with the involvement of people and their representatives. Staff had the relevant information on how to minimise identified risks to ensure people were supported in a safe way.

The manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People were involved in making decisions where possible and their legal rights upheld, which ensured that the least restrictive option was taken in a best interest decision for them.

People received care from staff that were respectful and caring and ensured that people’s privacy and dignity was maintained. Care people received was personalised and responsive to their needs.

People were supported to maintain good health; we saw that staff alerted health care professionals if they had any concerns about a person’s health.

People’s representatives knew how to make complaints and were confident these would be acted upon.

The provider did not have formal systems in place to audit the quality of the service being provided.