About the service Living Horizon provides personal care to people living in their homes in Aylesbury. At the time of our inspection there were 5 people living with a mental health related condition and/or learning disability receiving a regulated activity from 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. We considered this guidance as there was one person using the service who had a learning disability.
We received positive feedback from people supported. Comments included, “Staff are lovely. Always there ready to help” and “I think they’re the best supported living place I’ve been to and I’ve been to 12 places.”
We received positive feedback from professionals who worked with people supported by the service. Comments included, “The service has a positive impact. I have a few [people] with them, that without the support, they would have resulted to massive self-neglects, concordance issue and probably harm to self and others. The service has improved people’s quality of life while suffering from enduring mental illness.”
We observed positive interactions between people and staff. People were treated with dignity and respect. Staff understood how to safeguard people from abuse and took appropriate action to report any concerns.
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. We found some improvements could be made around record keeping about decisions made in the supported living settings. We have made a recommendation about this.
People were supported to understand the government restrictions and guidance at the height of the COVID-19 pandemic. However, staff did not routinely follow best practice guidance on hand hygiene. We have made a commendation about this.
Some systems were in place to receive an act on feedback from people. The registered manager had identified areas in which they had wanted to improve but had been unable to implement the changes. We have made a recommendation about this.
People and professionals told us they thought the service was run well. Comments included, “It’s excellent [registered manager] is a lovely man” and “The management are approachable, I have raised a concern about my clients and the concern is resolved with the patient positively and satisfactorily.”
Staff told us they felt supported by the registered manager. Staff described the manager as “approachable”.
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 21 May 2018)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 Living Horizon 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.