Background to this inspection
Updated
27 September 2022
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
Three Inspectors carried out the inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced on both days
During the inspection
We spoke with eight people and six relatives about their experience of the care provided. People who used the service communicated through a variety of methods including assisted technology, pictures, photos, objects and their body language. One person used a communication booklet and made up signs.
We reviewed a range of records. This included two people’s care records and five medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
27 September 2022
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.
About the service
Livability York House Ossett is a care home that can accommodate up to 23 people who require support with personal care needs, some of whom have a learning disability. At the time of inspection, there were 14 people living at the service.
People’s experience of using this service and what we found
The provider was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right Culture
The environment was not well maintained to meet people’s sensory and physical needs. For example, some parts of the premises were bare, there were no pictures fixed on walls, and we saw tape on some floor areas as a temporary repair and uneven surface on the floor in one corridor. We saw staining of ceiling tiles, damaged flooring and, carpets and a leaking roof.
People received good quality care, support and treatment because staff were trained to meet the needs and wishes of the people. people and those important to them were involved in planning their care. People were enabled to personalise their own rooms. Staff knew and understood people and were responsive to ensure their needs were met. Staff were knowledgeable and spoke confidently on how they supported people to lead an empowered life.
Right Support
People were well cared for by staff that valued them. Staff communicated with people in ways that met their needs. The provider supported people to have the maximum possible choice, control and independence. We saw evidence of people having the opportunity to participate in community life that matched their interests and maintained good relationships.
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Right Care
People received kind and compassionate care. People received care that respected their privacy and dignity. Staff protected people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The provider had skilled staff to meet the needs of the people and keep them safe.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Why we inspected
We undertook a targeted inspection in January and February 2022 to routinely provide assurance in relation to infection, prevention and control. We inspected and found there was a concern with some areas of the infection prevention and control and the management of medicines, so we widened the scope of the inspection to become a focused inspection which included the key question of safe and well-led. We undertook this inspection to assess the service is applying the principles of right support, right care, right culture.
We found evidence the provider needs to make improvements. Please see the safe and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.