We carried out a review of the data available to us about Livability North East on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Livability North East, you can give feedback on this service.
Livability is regulated to provide personal care and support to adults with learning disabilities and autistic people living in their own homes. At the time of the inspection there were 30 people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support
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. Staff communicated with people in ways that met their needs. Staff focused on people’s strengths and supported people to achieve their goals. People were supported safely with medicines. Infection prevention and control practices reflected current guidance. Risk assessments were in place and clearly outlined all presenting risks. It was very evident staff had ensured they fully understood the needs of people.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. The service worked well with other agencies and were regularly complimented on how well they engaged with healthcare professionals and supported people to receive the healthcare they needed. People’s care, treatment and support plans reflected their range of needs, and this promoted their wellbeing and enjoyment of life.
Right culture
People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff placed people’s wishes, needs and rights at the heart of everything they did. People told us they were involved in recruiting people who were to work with them and found this very useful. People and relatives were confident staff had the ability to meet their needs. Staff were aware of and were working to best practice guidance for supporting people with a learning disability and/or autistic people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 7 September 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
This report only covers our findings in relation to the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Livability North East on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
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At this inspection we found the service remained Good.
People told us they received good care from staff employed at the service. Throughout our inspection we observed very positive interactions between people and staff.
The provider had up to date safeguarding procedures and staff followed these appropriately. Disciplinary procedures had been instigated where required and used as an opportunity to learn and improve the service provided.
People received their care from a consistent and reliable staff team. Recruitment processes were effective in ensuring new staff were suitable to work at the service.
Medicines were managed safely with accurate records kept confirming which medicines people had been given. Medicines audits had effectively identified issues and ensured action was taken to keep people safe.
People’s needs had been assessed to identify their care needs and preferences. This was used as a baseline for developing care plans. Care plans were personalised and reflected people’s current needs.
Staff received good support, with regular supervisions and appraisals taking place. Records confirmed training was up to date.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received good support with their nutritional needs and to access healthcare services.
People were supported to take part in activities which were of particular interest to them.
The provider had a complaints process in place and this was operated effectively.
There was a structured approach in place to quality assurance. The registered manager had been pro-active in submitting statutory notifications to the Care Quality Commission as required.
There were regular opportunities for people and staff to give feedback about the service.
Further information is in the detailed findings below.