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Inspection Summary


Overall summary & rating

Missing

Updated 13 December 2016

This announced inspection took place on 18 and 21 November 2016. London Housing Trust provides care to people living in their own homes. We did not give a rating to the service because there was only one person using the service. We did not have enough information about the experiences of a sufficient number of people using the service to give a rating to each of the five questions and an overall rating for the service.

This is the first comprehensive inspection of the service since registration in January 2015.

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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were safe at the service. Staff understood the procedure of reporting concerns of abuse and took action to protect people from harm. We saw positive and friendly interactions between staff and people.

The registered manager assessed risks to people and put plans in place to ensure staff had sufficient guidance to support people safely.

The service operated safe and robust procedures to recruit suitable staff to provide support to people. There were sufficient numbers of staff to support people safely.

Staff sought and received people’s consent before they provided care. Staff supported people in line with the requirements of the Mental Capacity Act 2005. People who may lack mental capacity received appropriate support to understand and make specific decisions.

Staff told us the registered manager was approachable and supportive. Staff had supervision that helped them identify training needs and improve their practice. Staff received training which enabled them to meet people’s needs. Staff had received specialist training on working with people living with dementia and challenging behaviour.

People said staff were polite and caring. Staff treated people with respect and upheld their dignity and privacy. Staff knew the importance of involving relatives and health and social care professionals in planning of people’s care and support.

Staff supported people to access healthcare services when needed. People received the support they required with their medicines.

People received the support they required to have sufficient healthy food and enough to drink. Staff knew people’s dietary routine and their likes and dislikes. Staff encouraged people to follow advice from healthcare professionals with their nutritional needs and to adopt healthy lifestyle options.

People knew how to make a complaint. There was a complaints procedure as well as an accident and incident reporting. There was an open atmosphere within the service. The management encouraged a culture of learning and staff development.

The registered manager carried out audits to monitor the quality of the service. The service had plans for improving the care and support people received. The registered manager considered their views and used them to improve the service.

Inspection areas

Safe

Missing

Updated 13 December 2016

The service was safe. Staff assessed and managed risks to people’s health and well-being safely. Staff were aware of the types of abuse and what action to take to protect people from harm.

People received the support they required with their medicines.

There were sufficient staff on duty to meet people’s needs. The provider used robust recruitment procedures to employ suitable staff.

Effective

Missing

Updated 13 December 2016

The service was effective. Staff received support and regular supervision. Staff had on-going training which enabled them to meet people’s needs.

People consented to care and staff respected their choices.

Staff supported people to eat and drink and follow professional advice with their nutrition. Staff monitored people’s health and ensured they accessed the healthcare they needed.

Caring

Missing

Updated 13 December 2016

The service was caring. People told us staff were kind and caring.

Staff knew people well and respected their choices. Staff respected people’s dignity and privacy and treated them with respect.

People were encouraged to be as independent as possible. Staff supported people to make decisions about their care.

Responsive

Missing

Updated 13 December 2016

The service was responsive. People's care was person centred and planned in collaboration with them and healthcare professionals.

Staff assessed people’s needs and knew their preferences and interests.

People followed their interests and participated in a range of social and community based activities.

People knew how to make a complaint. Staff encouraged people maintain relationships important to them.

Well-led

Missing

Updated 13 December 2016

The service was well-led. Staff told us the registered manager was approachable and welcomed their ideas to improve the service.

The service had a positive open culture that encouraged learning.

The registered manager carried out audits to monitor the quality of service and made improvements when necessary.

The registered manager ensured an effective partnership with healthcare professionals.