Background to this inspection
Updated
31 January 2018
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.
One inspector undertook this announced inspection on 19 and 20 December 2017. The provider was given 2 hours’ notice because we needed to ensure someone was available to facilitate the inspection.
Before the inspection, we asked the provider to complete a Provider Information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
In addition, we reviewed the information we held about the service including statutory notifications and any safeguarding referrals raised. A notification is information about important events, which the provider is required to send us by law.
We also contacted the social care commissioners who monitor the care and support the people receive. We used the information they provided us with to inform our planning of the inspection.
During the inspection, we spoke to one person who used the service. We also spoke to five staff, which included three support workers, a service co-ordinator and the registered manager. We also contacted a relative and a health professional that supported some of the people.
We reviewed the care records of one person and three staff recruitment files. We also reviewed records relating to the management and quality assurance of the service.
Updated
31 January 2018
Livability Lifestyle Choices East Midlands provides personal care services to people with learning disabilities living in their own homes. At the time of our inspection, 3 people were receiving care.
This inspection took place on the 19 and 20 December 2017. We had previously inspected this service in January 2016, at that inspection the services was rated ‘Good’. We found that at this inspection the service had remained Good.
There was a registered manager. 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.
People continued to be treated with respect, kindness and empathy. The staff were friendly, caring and compassionate. Positive relationships had been developed between the people and staff. People had detailed personalised care plans in place, which enabled staff to provide consistent care and support in line with people’s personal preferences.
People continued to receive safe care. Staff were appropriately recruited and there were sufficient staff to meet people’s needs. People were protected from the risk of harm and received their prescribed medicines safely.
The care that people received continued to be effective. Staff had access to the support, supervision and training that they required to work effectively in their roles. Development of staff knowledge and skills was encouraged. People were supported to maintain good health and nutrition.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in place supported this practice. People were supported to live fulfilling lives and be part of the local community attending local groups and taking part in events.
The service had a positive ethos and an open culture. The provider was committed to develop the service and actively looked at ways to continuously improve the service. There were effective quality assurance systems and audits in place; action was taken to address any shortfalls.
People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints that they may receive.