We carried out a review of the data available to us about Creating Lifestyles Surbiton Limited 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 Creating Lifestyles Surbiton Limited, you can give feedback on this service.
Creating Lifestyles Surbiton provides personal care to people living in two supported living services. People receiving the care have a learning disability. At the time of our inspection, 10 people were living across the two houses. Two people 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
Improvements had been made to the service since our last inspection. People told us they felt safe and there was a good atmosphere between people and staff. People received the medicines they required, and they were cared for by a sufficient number of staff.
Where risks to people had been identified, staff responded to these by following guidance in people’s care plans. Staff knew people extremely well and as such they were able to tell us about people’s individual characteristics.
People said staff were kind to them and there was evidence people were involved in the planning of their own care. People were provided with the foods they required, and staff worked with external agencies to support people to access healthcare when needed.
The manager displayed a positive approach towards people and staff, and they were working with the provider’s management team to sustain improvements already made.
Governance systems were in place and people were given the opportunity to contribute to the service through their feedback. In turn, staff were supported through appropriate training, supervision and team meetings.
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 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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. People were encouraged, by the attitudes and behaviours of staff to remain independent and care provided to them was person centred.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 17 July 2019).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Creating Lifestyles Surbiton on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Creating Lifestyles Surbiton Limited provides personal care to people with learning disabilities who live in their own homes. The service consists of two shared houses where people hold their own tenancies but have staff on site for support at all times. At the time of our inspection, there were eight people living at the service and five people were receiving a regulated activity. 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:
People did not always feel safe living at Creating Lifestyles Surbiton Limited. Some people had experienced aggression from others living at the home. These incidents had been recorded and reported but no action taken to prevent them happening again.
People’s needs had not always been accurately assessed before they moved to the home. As a result, the home had admitted some people whose needs were not being met. Staff had not received all the training they needed to support people effectively. Care plans did not contain guidance for staff about how to provide the personalised support people needed.
Medicines were not always managed safely.
Bathrooms were not clean, which meant people were potentially at risk of infection.
Staff did not always treat people with respect or maintain people ’s dignity when speaking to them.
Relatives told us communication from the service was poor. They said they were not always informed about incidents or accidents involving their family members. Relatives also told us they did not have opportunities to be involved in planning their family member’s care.
Quality assurance systems were not effective in identifying concerns and the provider had not always notified CQC of events that they were required to do so by law.
People were able to make choices about what they ate and how they spent their time. There were enough staff on duty to support people to take part in activities. People were supported to maintain relationships with their families and friends.
People were supported to be independent, which they told us they valued. Staff felt valued and supported by the registered manager.
People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible and in their best interests; the policies and systems in the service did support 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:
At the last inspection we gave the service a rating of good (published 30 December 2016).
Why we inspected:
This was a planned comprehensive inspection in line with our re-inspection programme.
We have identified breaches in relation to protecting people from abuse, safe management of medicines, infection control, treating people with dignity and respect, assessment of needs, notification of incidents and good governance at this inspection.
We have also made recommendations around involving families in people’s care and ensuring people have healthcare appointments correctly recorded.
Please see the action we have told the provider to take at the end of this report.
Follow up:
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Creating Lifestyles Surbiton Limited provides personal care to people with learning disabilities who live in their own homes in order for them to maintain their independence. The service consists of two shared houses where people hold their own tenancies, but have staff on site for support at all times.
At the time of our inspection the provider confirmed they were providing personal care, as regulated by us, the Care Quality Commission (CQC), to 8 people. The service also supported several other people who did not receive any personal care. Information relating to other people could not be included in this report.
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.
Staff had a good understanding of abuse and the safeguarding procedures that should be followed to report abuse. Staff were confident that they were able to keep people safe and report abuse if they saw it.
People had risk assessments in place to positively support them to be as independent as possible. People understood the risk assessments that were in place for them, and staff found them easy to follow and useful.
Staffing levels were adequate to meet people's current needs. We saw that the service had a consistent staffing level and people received the support they needed.
The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.
Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles.
People told us that their medicines were administered safely and on time. We saw that medication administration was accurately recorded and medication was safely stored.
Staff were well supported by the registered manager and senior team, and had regular one to one
supervisions. Staff were confident in their roles and told us they could access help whenever they needed it.
People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met.
People were able to choose the food and drink they wanted and staff supported people with this. People told us they were able to eat whenever they chose to and were encouraged to maintain a healthy diet.
People were supported to access health appointments when necessary. People we spoke with were either able to arrange and attend appointments themselves, or have staff support them to do so if they required.
Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. People told us they were happy with the staff team that supported them and were able to develop good relationships.
People were involved in their own care planning and were able to contribute to the way in which they were supported. People were consulted about their care and offered choices on a daily basis.
The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required.
The people we spoke with knew how to use it.
Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed
We read in care records that every person had a personalised care and support plan that was suitable to their needs and reviewed regularly and that people were involved with these. We saw that there were regular resident meetings where people's views were listened to and valued. Through observation we saw people being offered choice as to what they wanted to do and how their room ware decorated. We saw that regular audits of the service were completed by the provider ensuring that people who used the service benefited from a service that constantly monitored its quality of care provided.
We found that staff had adequate training and were well supported in order to carry out their role and to meet the needs of the people in the home. We found that safeguarding training had been received by all staff and that their responsibility was well understood.