Background to this inspection
Updated
25 August 2021
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 Care Act 2014.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
This service provides care and support to people living in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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 announced. We gave a short period of notice of the inspection to enable consent to be obtained from people using the service so we could visit them.
Inspection activity started on 28 July and ended on 3 August 2021. We visited the service on 28 July 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with and observed staff interactions with the person supported by this service. We spoke with their relatives, two support staff, house manager and the registered manager who is also the provider of the service.
We reviewed a range of records. This included the persons care and medication records. We looked at three staff files in relation to recruitment, supervision and training. We also looked at records that related to the management and quality assurance of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and policies and procedures.
Updated
25 August 2021
About the service
Liberty House provides personal care and support to people living in their own homes. The service provides support to people with a learning disability and/or autistic people. The service was supporting one person at the time of the inspection in their home. Staff provided 24-hour care which included sleeping in at the person’s home.
People’s experience of using this service and what we found
People were supported by staff that understood their individual needs and had been trained and understood how to protect people from abuse. People received their medicines when they needed them and had access to healthcare professionals where required. Systems were in place to reduce the risk of infection, and to review any incident and accidents to see if there were any lessons to learn from these.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The Model of care and setting maximises people’s choice, control and independence. Care is person-centred and promotes people’s dignity, privacy and human
rights. The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
The registered manager, and support staff shared person centred values in relation to how people were supported. They empowered people to make choices and have control over their daily life. The registered manager was described as approachable, supportive and open and transparent in the way they managed the service. Systems were in place to monitor the delivery of the service and drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 19 September 2019 and this is the first inspection.
Why we inspected
This was a planned inspection.
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.