Background to this inspection
Updated
6 December 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 announced comprehensive inspection of Lifestyle Care Support Limited took place on 31 October 2017. We gave the service 48 hours’ notice of the inspection because we needed to ensure the registered manager would be available.
The inspection was undertaken by one inspector.
Before the inspection we looked at information we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us by law. We also contacted the Clinical Commissioning Group who has a quality monitoring role with the service.
During our inspection we visited five people in their homes and spoke with a relative on the phone. We also spoke with five staff that included the registered manager, the deputy manager and three care staff.
We reviewed a range of records about people’s care and how the service was managed. These included care records for four people using the service and three records in relation to staff recruitment and training, as well as records related to quality monitoring of the service by the provider and registered manager.
Updated
6 December 2017
This inspection took place on 31 October 2017 and was announced.
Lifestyle Care support Limited provides supported living at home for people with learning disabilities. At the time of our inspection there were ten people receiving support.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
The provider had internal systems in place to monitor the quality and safety of the service but these were not always fully completed. Records management was disorganised in some areas and some records had not been fully completed. Records were not always available in a suitable format for many people using the service, for example care plans and the complaints procedure.
People felt safe. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.
Staff received an induction when they first commenced working at the service. They were well supported by the registered manager and had regular one to one supervision and annual appraisals.
Staff sought people’s consent before providing any care and support. They were knowledgeable about the requirements of the Mental Capacity Act (MCA) 2005 legislation. Where the service was responsible people were supported by staff to access food and drink of their choice to promote healthy eating. If required, staff supported people to access healthcare services.
People were treated with kindness and compassion by staff; and had established positive and caring relationships with them. People were able to express their views and to be involved in making decisions in relation to their care and support needs. Staff ensured people’s privacy and dignity was promoted.
People’s needs were assessed prior to them receiving a service. This ensured the care provided would be appropriate and able to fully meet their needs. People’s care plans were written with a person centred approach and updated on a regular basis or when there was a change to their care needs. The service had a complaints procedure in place and people said they would feel comfortable making a complaint if the need arose.
People and staff were positive about the registered manager and felt well supported in their roles. Accidents and incidents were appropriately recorded and appropriate actions had been taken to reduce the risks of any repeat accidents.