Archived: Libertatem Healthcare Group Ltd Head Office Also known as JavaScript:{App().GotoView("Service Request detail view w/attachments", "", "/epublicsector_oui_enu/

Updated 29 March 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

This service is a home care service, which provides personal care and support to children, younger adults and older people living in their own homes within the community. The service specialised in providing care to meet the needs of people who had experienced person injuries, including acquired brain and spinal cord injuries.

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:

We gave the service 48 hours’ notice of the inspection site visit because we needed to be sure arrangements could be made to meet with key staff and people who use the service.

What we did:

Before the inspection we looked at information we held about the service:

• We asked the provider to complete a Provider Information Return. This is key information providers are required to send about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

• The law requires providers to notify us of certain events that happen during the running of a service. We reviewed notifications received since the last inspection.

• We spoke with three health and social care professionals who work with the service.

During the inspection:

• Inspection site visit activity was carried out on 19 February 2019. We visited the office location on this date to see the provider and office staff; and to review care records and policies and procedures.

• We spoke with the registered manager, two directors, the office manager, two care coordinators.

• On 25 February 2019, we completed a home visit, where we spoke with a person using the service, their relatives and care staff.

• Between 4 and 11 March 2019, we spoke with five people who use the service and seven case managers, who had been legally appointed to commission people’s care. In this context, case managers are health and social care professionals with expertise in the areas of support required by people, for example, spinal cord injuries.

• We spoke with 16 staff who supported people living in different parts of the United Kingdom.

• We looked at eight people’s care records, eight staff recruitment and training files, the provider’s policies, procedures, quality assurance systems processes and other records demonstrating how the service was managed.

Updated 29 March 2019

About the service:

Libertatem Healthcare Group Ltd provides personal care and support to people living in their own homes, who have experienced a personal injury, for example traumatic, acquired brain and spinal cord injuries. People's care was commissioned by legally appointed case managers. At the time of the inspection there were 32 people receiving personal care from 85 staff.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk.

People’s experience of using this service:

• People received high quality care that was safe, effective, caring, responsive and well led.

• People and their relatives consistently provided positive feedback about all aspects of the care they received.

• One person told their progress in relation to a traumatic, acquired brain injury was due to the unswerving support and encouragement of their dedicated care team. One person’s relative told us, “They [staff] have been absolutely marvellous and their care and support has helped [their loved one] come so far.”

• People were protected from discrimination, neglect, avoidable harm, and abuse by staff.

• Staff ensured the human rights of people who lacked a voice, were upheld and respected.

• Risks to people's safety had been identified and assessed. Staff followed people’s risk management plans to keep them safe.

• Staff felt valued and respected by the management team, and consistently demonstrated high levels of morale.

• Staff had developed and maintained the required skills to meet people’s needs effectively, which led to good outcomes for people’s care and support and promoted their quality of life.

• Where people experienced complex needs the provider arranged bespoke training tailored to the individual’s needs.

• We saw people were treated with kindness and compassion by staff who supported them to express their views and be actively involved in making decisions about their care.

• People’s care plans were comprehensive, providing staff with the required information about their needs and how to meet them.

• The provider had worked effectively with local organisations, health and social care professionals and multi-disciplinary teams to improve care practice and outcomes for people.

Rating at last inspection:

This was the first inspection of Libertatem Healthcare Group Ltd since they were first registered to provide personal care in March 2017.

Why we inspected:

This was a planned comprehensive inspection, in line with our inspection programme.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.