Background to this inspection
Updated
17 October 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 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 was a comprehensive inspection carried out by two adult social care inspectors on the first day and one on the second day. The inspection took place on 5 September 2018 and 10 September 2018 and was announced. The registered provider was given 24-hour’s notice as we needed to be sure that someone would be available during our visit.
Prior to the inspection the registered provider had completed a provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We used this information to form part of our inspection planning document and throughout the inspection process.
We checked the information that we held about the service and the registered provider. This included statutory notifications sent to us by the registered manager about incidents and events that had occurred at the service. A notification is information about important events which the registered provider is required to send us by law.
Prior to the inspection we contacted the local authority quality monitoring team and the local safeguarding teams who raised no concerns about the service. We contacted two health and social care professionals who provided us with feedback about the service.
During the inspection we visited three of the supported living homes and spoke to five people supported by the service. We observed interactions between staff and the people supported and used these observations to make a judgement on the quality of the support people received. We spoke to four support workers, the project lead, the engagement lead and the registered manager. We spoke with four relatives by telephone of people supported by the service.
We reviewed three care plan files that included risk assessments, medicines management systems, three staff recruitment and training files and other records that related to the management of the service.
Updated
17 October 2018
The inspection was carried out on 5 and 10 September 2018 and was announced.
IDEM Living Ltd is a domiciliary care service offering support to people within supported living accommodation. The service supports 10 people within the Huyton area of Liverpool.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have a legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At this inspection we found the service remained Good. The service is rated Good as it had met all the requirements of the fundamental standards.
The registered provider continued to have safe recruitment practices in place. All staff had completed an induction and the Care certificate at the start of their employment and undertaken shadow shifts with an experienced member of staff. Mandatory training was consistently completed as well as refresher training in accordance with good practice guidelines. Staff received support through supervision. Staff told us they felt well supported and spoke positively about the management team.
Staff had a good understanding of how to safeguard the people they supported. The registered provider had safeguarding policies and procedures in place that staff understood and felt confident about raising any concern they had.
People had their needs assessed before they were supported by the service. This information was used to develop person centred care plans and risk assessments that reflected people's individual needs and preferences. People's needs that related to age, disability, religion or other protected characteristics were considered throughout the assessment and care planning process. Staff had a good understanding of people's histories, likes, dislikes and preferred routines. People were supported to undertake activities of their choice and their independence was promoted. Staff supported people with their food and drink needs.
Medicines were managed safely in accordance with best practice guidelines. There were medicines policies and procedures in place that offered clear guidance to staff. Medicines training had been completed and staff had their competency regularly assessed.
Staff had developed positive relationships with the people they supported. People's independence was promoted through documentation and interactions observed between people and staff. Privacy and dignity of people with respected and they were consistently offered choice.
The registered provider had a clear complaints policy and procedure in place available in accessible formats. Relatives told us they felt confident to raise any concerns and thought they would be listened to and acted upon.
The Care Quality Commission is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 and report on what we found. We saw that the registered provider had policies and procedures available for staff to follow in relation to the MCA. Staff demonstrated a basic understanding of this and had all completed training.
The registered provider had audit systems in place that were used to highlight areas of development and improvement within the service. Feedback was regularly sought from people, relatives, staff, as well as health and social care professionals.
Policies and procedures were available for staff to offer them guidance within their role and employment. These were regularly reviewed and updated by the registered provider.
Further information is in the detailed findings below.