16 February 2022
During an inspection looking at part of the service
About the service
Littleton House is a support living service, providing personal care to 20 people at the time of inspection. The service provides support to people who have a learning disability or physical disability.
There were six houses, containing individual flats. Each person had their own bedroom and bathroom facilities. Each house contained a shared communal lounge and kitchen area.
People’s experience of using this service and what we found
People received a service that was safe and well-led. There were systems in place to monitor the quality and safety of the service.
Infection prevention and control practices were safe and spot checks were carried out by the management team.
People were supported by staff who knew them well. Staff received relevant training and knew how to recognise and escalate safeguarding concerns. Peoples medicines were managed safely, and staff had been recruited safely.
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.
Based on our review of safe and well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were support to have maximum choice, control and independence. Care was person-centred and promoted people’s dignity, privacy and human rights. The ethos, values and attitude of the management team and staff ensured people lead confident, inclusive and empowered lives.
Rating at last inspection and update
The last rating for this service was requires improvement (published 11 September 2021) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We received concerns in relation to the safeguarding of people using the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. Whilst undertaking this inspection we assessed whether the service was applying the principles of right support, right care and right culture.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Littleton House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information we may inspect sooner.