Background to this inspection
Updated
13 January 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 was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The inspection took place on 11 October 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that the registered manager would be available.
The inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
We looked at the notifications that we had received from the provider about events that had happened at the service. A notification is information about important events which the provider is required to send us by law. We reviewed the information we received from other agencies that had an interest in the service, such as the local authority and commissioners.
During our inspection we went to the provider’s office and spoke with the registered manager, six support workers and a health care professional. This was to gain information on how the service was run and check that standards of care were being met. We reviewed the support records of five people who used the service, the personnel records for three support workers and records relating to the management of the service. We made phone calls to seven people who used the service and eight relatives to get their experience of the service they received.
Updated
13 January 2017
The inspection took place on 11 October 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that the registered manager would be available. At the inspection in July 2013 we found the service did not meet required standards as the quality and accuracy of records did not fully protect people from the risk of unsafe or inappropriate care. We asked the provider to make the necessary improvements to the quality and accuracy of the records. At this inspection we found the improvements had been made.
Living Independently Staffordshire is a short term reablement service, for people living in the Newcastle under Lyme area. The service supported people to maximise or regain their independence following a period of illness or hospital admission. This included a scheme for assessing the needs of people who were living with dementia to ascertain the level of support they required to remain in their own home. Support was usually provided within a person's own home and was available seven days a week between 7am and 10pm. At the time of the inspection 57 people were being supported by the service.
The service had 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People received outstanding personalised care and support. People were involved in all decisions about their care and the service had creative and innovative ways of enabling people to regain their independence and lead as full a life as possible. Support plans were extremely personalised and had been discussed and agreed with the people.
The service was very well-led. The registered manager was focused upon improving the quality of the service and there was a strong emphasis on continuous improvement. There were clear lines of management responsibility. Support workers told us they felt supported to fulfil their role and the registered manager was approachable. Systems were in place to continually monitor the safety and quality of the service. There were processes in place to monitor quality and understand the experiences of people who used the service. The registered manager and support workers demonstrated strong values and a desire to learn about and implement best practice throughout the service.
Robust systems were in place to ensure that people were supported by support workers who were of continuing good character and able to carry out their work safely and effectively. Support workers received full induction training, annual updates and refreshers to ensure they were fully skilled to provide the support. Support workers had regular opportunities to meet with their seniors either on a one to one basis or in support workers meetings.
People were supported in their own homes and told us they felt safe and comfortable with the service provided. Support workers had received training in safeguarding adults from abuse and were aware of the procedures to follow if they suspected that someone was at risk of harm.
People were offered support in a way that upheld their dignity and promoted their independence. Care and support plans were written in a personalised way based on the needs of the person concerned. People’s care and support needs were assessed and continually reviewed to ensure they received the appropriate support from the service to regain and maintain a level of independence.
People told us the staff and support workers were kind, caring and supportive. The principles of the Mental Capacity Act 2005 were followed to ensure that people's rights were respected.
People’s medicines were managed safely; support workers were well trained and supported people with their medication as required. People were supported to obtain equipment to support them with their prescribed medication.
There was collaborative working with various health care professionals and other support agencies to support people with their healthcare needs.