Lily Close

Lily close is a residential service providing care and accommodation to people with learning disabilities and or autism. The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. Lily close accommodates up to 10 people in three adapted buildings. At the time of our inspection six people were living there.

People’s experience of using this service and what we found

There were safeguarding procedures to keep people safe from abuse. Risk assessments were used to monitor risks to people and keep them safe from harm. There were enough staff at the service. Suitable staff were recruited to work with people. Medicines were managed safely. Staff understood how to prevent infection. The service analysed incidents and accidents to learn lessons when things went wrong.

People’s needs were assessed before moving into the service. Staff were trained how to do their jobs and were supervised in their roles. People were supported to eat and drink healthily. People were supported to access health and social care professionals as and when necessary. 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 the service supported this practice.

People told us staff were caring. People and their relatives were involved with their care and consented to their treatment. People’s privacy was respected, and their independence promoted.

People’s care plans recorded their needs and preferences, so staff knew how to best work with them. People were supported to do activities they liked to do. The provider understood people’s communication needs and sought to ensure their voice was heard. The service ensured people were not socially isolated. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People and relatives told us they knew how to make complaints. People’s end of life wishes were recorded if people wanted them to be.

The service promoted person centred care. People and relatives were happy with the management of the service. The provider used quality assurance measures to drive improvement in the service. Staff understood their roles and responsibilities. People, relatives and staff were involved with the service through meetings and feedback provision. The service had links with other agencies to the benefit of people using the service.

Rating at last inspection

The last rating for this service was good (published 22 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Lily Close provides accommodation and support with personal care for 10 people with a learning disability. At the time of the inspection there were two people using the service.

The service did not have a registered manager. However, the provider had employed a new manager who has applied for registration. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We found people were relaxed, well presented and there was an inclusive atmosphere in the service. Staff were patient, friendly, kind and treated people with respect and dignity. The home was clean, bright and spacious, and people could access communal areas.

There was a recruitment process in place which ensured that staff were appropriately checked and supported to meet people's needs. We noted staff were supervised and supported to complete training programmes related to their roles. There were enough staff deployed to support people.

People's care plans were regularly reviewed and it was evident that people, their relatives and advocates were involved. Staff ensured people's human rights and worked within the principles of Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLs). Staff had good adult safeguarding knowledge and how to support people to live as independently as possible by completing task by themselves, when possible, and by accessing community based facilities.

There were systems in place for monitoring and auditing the quality and health and safety of the service. These ensured that people, relatives and staff views about the quality of the service were sought and any concerns or incidents were identified and action put in place to address them.