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Lifestyle Care Support Limited Good

Reports


Inspection carried out on 31 October 2017

During a routine inspection

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.

Inspection carried out on 08 December 2015

During a routine inspection

This inspection took place on 08 December 2015 and was announced.

Lifestyle Care support is a supported living service for people with learning disabilities. At the time of our inspection there were ten people receiving support.

There was a registered manager in post. 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 felt safe living at the service. Staff were aware of what they considered to be abuse and how to report this.

Risks to people’s safety had been assessed and were detailed in people’s support plans. Staff used these to assist people to be as independent as possible.

There were sufficient staff, with the correct skill mix, on duty to support people with their needs. Staff had been recruited using a robust recruitment process.

Medicines were stored, administered and handled safely.

Staff were knowledgeable about the needs of individual people they supported. People were supported to make choices around their care and daily lives.

Staff had attended a variety of training to keep their skills up to date and were supported with regular supervision by the registered manager.

There were policies and procedures in place in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards. Staff knew how to use them to protect people who were unable to make decisions for themselves.

People could make choices about their food and drink and were provided with support when required to prepare meals.

Each person had access to health care professionals to ensure they received effective care or treatment.

Staff treated people with kindness and compassion, and knew people well.

People and their relatives were involved in making decisions and planning their care, and their views were listened to and acted upon.

People had the privacy they required and were treated with respect at all times.

People’s support plans were person centred and reflected how they wished to receive support.

Staff supported people to follow their interests and social activities.

There was an effective complaints procedure in place.

Regular meetings were held for staff to enable everyone to be involved in the development of the service.

We saw that effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.

Inspection carried out on 12 September 2013

During a routine inspection

We spoke with one person about the service they received. They told us that they were happy with their care. We saw that staff had a good relationship with people and people were calm and relaxed with staff.

We looked care records for four people found their needs had been assessed and care and treatment planned and delivered in line with their individual needs. We saw that care plans and assessments contained all the relevant information for staff to meet people's individual care needs.

We saw that new staff had induction programme followed by on on-going training to ensure that they had the skills and knowledge to support and care people living in the home.

Inspection carried out on 14 November 2012

During a routine inspection

We spoke with two people about the service they received. They were happy with their care. One person told us that the staff were helpful and kind and said “I am happy with everything….staff do things for me”. We found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan and in a way which respected their preferences and routines.

During an inspection to make sure that the improvements required had been made

We did not visit the service as part of this review. When we visited the service on 21 October 2011 we spoke with three people who receive a service from Lifestyle Care Support. They all told us that they were happy with the support that they receive.

Inspection carried out on 21 October 2011

During a routine inspection

We spoke with three people who receive a service from Lifestyle Care Support. They all told us they were happy with the support they received.