We carried out a review of the data available to us about CLIA Care 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 CLIA Care, you can give feedback on this service.
Clia Care (Disraeli Lodge) is a ‘supported living service’ providing personal care to people in supported living schemes, so that people can live in their own homes as independently as possible. The service provides support to people with a learning disability or autistic spectrum disorder. At the time of our inspection 5 people were receiving personal care.
The service has 6 locations whereby people have their own bedrooms in an adapted house and share communal areas. 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
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support
People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted. People received support from staff to make their own decisions about medicines wherever possible.
Right Care
Staff supported people to express their views using their preferred method of communication. People had the opportunity to try new experiences, develop new skills and gain independence.
Right Culture
Staff provided people with personalised, proactive and co-ordinated support in line with their communication and support plans. The registered manager worked hard to instil a culture of care in which staff truly valued and promoted people's individuality, protected their rights and enabled them to develop and flourish. Staff felt respected, supported and valued by senior staff which supported a positive and improvement-driven culture.
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.
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 10 October 2018).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Clia Care Disraeli Lodge on our website at www.cqc.org.uk.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has not changed. This is based on the findings at this inspection.
Enforcement and recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We have made a recommendation in relation to medicines management.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Some people living at Clia Care (Disraeli Lodge) did not receive a regulated activity from the service. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’, which includes help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
Clia Care (Disraeli Lodge) provides a service to young adults some of whom have autism and learning disabilities. At the time of inspection two people were receiving support with personal care from this service.
This inspection took place on 28 August 2018 and was announced. 48 hours before the inspection we contacted the service to let them know that we will be coming to inspect them. We wanted to make sure that the registered manager would be available on the day of inspection.
This service has not previously been inspected.
The service had a registered manager. A registered manager is a person who has registered with the CQC 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.
At the time of inspection, we found that some staff were not up-to-date with the required training courses. We made a recommendation about this.
People told us they felt safe living at Clia Care (Disraeli Lodge) and that there was enough staff to assist them with their care needs. Systems were in place to support people to stay safe from abuse and any incidents and accidents occurring. Staff undertook all the required pre-employment checks before they started working with people which ensured their suitability for the role. Guidance was provided for staff on how to support people to take their medicines safely. Staff followed people’s risk management plans to mitigate any potential risks to people. However, some additional information was required to guide staff on what were the exact risks to people that could affect their well-being.
Staff said the management team provided effective support to them which meant they could carry out their responsibilities as required. People’s health needs were adhered to when they needed medical attention. People had support to identify and meet their care needs according to their preferences. The service monitored people’s ability to make decisions for themselves as required by the Mental Capacity Act 2005 (MCA).
People spoke positively about the staff team and how well they cared for them. Staff were kind, friendly and attended to people’s needs and preferences as required. People felt they were respected which helped them to maintain their self-esteem. Staff supported people to learn new skills and increase their independence where possible.
People’s care needs were appropriately assessed which provided staff with guidance on the assistance people required. Staff were aware of people’s communication needs and communicated to people the way they could understand them. People and their relatives were supported to raise concerns and complaints and felt confident to approach the staff team for making changes to their care if necessary.
People, their relatives and the healthcare professionals we spoke to felt that the service had a good leadership. Policies and procedures were in place to support staff in delivering good care for people. Staff followed good practice to share information appropriately. We saw audits being regularly carried out to check if people’s care records reflected their needs as necessary. However, some records were not appropriately completed and the registered manager told us they would address this immediately.