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Inspection Summary


Overall summary & rating

Good

Updated 23 April 2016

This inspection took place on 12 and 14 April 2016.

Thurrock Lifestyle Solutions is registered to provide personal care to people who live in their own home. There were 2 people receiving a service at the time of our inspection. This was the services’ first inspection since their registration.

A registered manager was 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.

Records relating to the management of the service, such as policies and procedures to guide standards, needed improvement as did the systems for checking the safety and quality of the service provided. People knew the registered manager and found them to be approachable and available. People had the opportunity to say how they felt about the service provided. Their views were listened to and actions were taken in response.

People confirmed they felt safe and secure. Staff knew how to identify potential abuse and report concerns both internally and externally. People were supported to take their medicines safely. Potential risks to people’s health and well-being were identified, reviewed and managed effectively to support people to have as much independence as possible while keeping them safe. Flexible arrangements were in place to ensure there were sufficient numbers of suitable staff available at all times to meet people’s individual needs.

The manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Staff obtained people’s consent before providing any support and respected people’s right to make their own decisions.

People were supported to maintain good health and they had access to health and social care professionals when necessary. They were provided with appropriate levels of support to help them choose a healthy balanced diet that met their individual needs and preferences.

People’s dignity and privacy was respected and people found the staff to be friendly and caring. Staff developed positive and caring relationships with the people they supported.

People, and their relatives where appropriate, were fully involved in the planning, delivery and reviews of the support provided. Care records included people’s preferences and individual needs so that staff had clear information on how to give people the support that they needed. People confirmed they received the care they required.

Inspection areas

Safe

Good

Updated 23 April 2016

The service was safe.

People were supported by staff who knew about their needs and the risks associated with their support. There were enough staff to keep people safe. Staff knew what to do if they had concerns about people.

Medicines were managed and stored appropriately.

Effective

Good

Updated 23 April 2016

The service was effective.

Staff felt well supported to enable them to meet people’s needs. People’s consent was obtained before support was provided and staff worked within the principles of the Mental Capacity Act 2005.

Staff supported people to maintain good health through encouraging appropriate nutrition and supporting people to access health care facilities when required.

Caring

Good

Updated 23 April 2016

The service was caring.

People were provided with care and support that was personalised to their individual needs. Staff knew people well and what their preferred routines were.

People’s privacy, dignity and independence were respected, as was their right to make decisions and choices.

Responsive

Good

Updated 23 April 2016

The service was responsive.

People’s care plans were reflective of their needs and wishes and people received person centred care. People participated in social activities and interests they enjoyed and that met their needs.

The service had appropriate arrangements in place to deal with comments and complaints.

Well-led

Requires improvement

Updated 23 April 2016

The service was not consistently well led.

Improvements were needed to the management of quality monitoring and reporting systems to ensure the service maintained its standards.

Staff felt valued and the culture in the service was open, respectful and inclusive.

Opportunities were available for people to give feedback, express their views and be listened to.