Archived: St Lukes

Updated 12 June 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.

This inspection took place on 28 March 2018 and was announced. We announced it and gave the provider one days' notice. This was to ensure that we could visit people in their home at a convenient time and to make sure staff were available to speak with us. The inspection team consisted of one inspector.

We used information we held about the service and the provider to assist us to plan the inspection. This included notifications the provider had sent to us about significant events at the service. We also used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

People living at the home were unable to speak with us to give us their views in any detail. We met two people who used the service and observed how staff interacted with them. We also spoke with a relative of a person who used the service. We spoke with two members of the care staff team, the service manager and the registered manager.

We looked at two people's care records to check they were accurate and up to date. We also looked at records relating to the management of the service including quality checks of medicines, infection control and safety of the premises.

Updated 12 June 2018

We inspected this service on 7 March 2018. St Lukes provides care and support for five people living in a 'supported living' setting, so that they can live in their own home 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.

The people who live at St Lukes have learning disabilities and the care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of the inspection, there were two people living there.

At our last inspection on 2 March 2016, we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive safe care. Staff had a good understanding of what constituted abuse and knew what actions to take if they had any concerns about people’s safety? Risks associated with people’s care were assessed and managed. Incidents and accidents were investigated thoroughly to ensure lessons were learnt and improvements made to minimise the risk of reoccurrence. There were systems in place to ensure people were protected by the prevention and control of infection. People received their medicines when needed and there were suitable arrangements in place in relation to the safe administration, recording and storage of medicines. There were sufficient, suitably recruited staff to meet people’s needs.

People continued to be cared for effectively. People were supported to enjoy their meals and their dietary needs and preferences were met. Staff were supported and trained to ensure people received care and support in line with best practice. People were supported to access healthcare professionals to help maintain their day to day health needs. The home was adapted and decorated to meet people’s individual needs and preferences. 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 the service supported this practice.

The care people received remained good. Staff had formed positive, caring relationships with people. People’s privacy and dignity was promoted at all times.

The service remained responsive. People received personalised care that met their individual needs. Staff understood people’s diverse needs and supported people to follow their interests and engage in activities they enjoyed. People and their relatives were able to raise any concerns or complaints and were confident these would be acted on.

The service remained well led. Staff felt supported and valued by the management team. There were suitable systems in place to continuously assess, monitor and improve the quality and safety of the service. The provider encouraged people, their relatives and staff to give feedback on how the service could be improved to make improvements where needed.

Further information is in the detailed findings below.