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Archived: Larkstone Supported Living Limited Good

Inspection Summary

Overall summary & rating


Updated 24 February 2017

This inspection took place on the 14 December with an unannounced visit to the registered office. We then completed two further visits to people using the service, which were announced. These occurred on 16 December 2016 and 6 January 2017.

Larkstone supported living service provides personal care to people in their own homes and covers two main geographical areas; Ilfracombe and Bideford. People using this service either have a learning disability or a mental health issue and require assistance with activities of daily living to ensure their safety and well-being.

There was a registered manager in post, who has been working at the service for just over 12 months. 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.

Care and support was well planned and delivered by a staff team who understood the needs and wishes of people who received a service. Staff showed a good understanding of how to support people in the least restrictive way, promoting their dignity and ensuring their human rights were protected.

Staff knew what mattered to people and were therefore able to offer personalised care and support to suit people’s needs, wishes and preferences. People were actively involved in the development and reviewing of the care plan, where possible. Usually care was well planned, although we did receive feedback from one healthcare professional to say one person they had reviewed, did not have a care plan and their risk assessment was in need of updating. The provider said there was a care plan but this had needed to be updated, which had now been completed. The impact on the individual was minimal as the care workers knew the person well and knew how to support them safely and effectively.

People were protected from the risk of potential abuse as staff understood what to do to minimise risks, report any concerns and work in a way which promoted people’s independence whilst being mindful of their vulnerability.

Recruitment processes ensured new staff employed were suitable to work with vulnerable people. There was a comprehensive induction programme which followed national standards.

Staff had training, support and supervisions to help them develop their role and skills. Staff felt valued and said they had good opportunities to gain further skills and qualifications.

People, staff and relatives of people using the service had confidence in the management approach. There were a variety of ways the service sough their opinions and actioned any concerns or complaints.

People were supported to maintain their health, be encouraged to eat a healthy diet and receive their medicines at the right time.

People’s rights were protected because staff understood the principles of the Mental Capacity Act 2005 and when needed were able to support people to make best interest decisions, including the involvement of independent advocates.

Inspection areas



Updated 24 February 2017

The service was safe.

People said they felt safe. Care workers were able to demonstrate a good understanding of what constituted abuse and how to report if concerns were raised. People’s risks were managed well to ensure their safety.

A core team of care workers ensured people had continuity and that arrangements were flexible in order to meet people’s individual needs.

There were effective recruitment and selection processes in place.

Medicines were managed safely.



Updated 24 February 2017

The service was effective.

Care workers received training and supervision which enabled them to feel confident in meeting people’s needs and recognising changes in people’s health.

People’s health needs were managed well by a small team of consistent care workers. They supported people to access healthcare support if required.

People’s legal rights were protected because care workers had an understanding of the requirements of the Mental Capacity Act (MCA) 2005.

People, where required, were supported to maintain a balanced diet.



Updated 24 February 2017

The service was caring.

People said care workers were caring and kind.

Care workers relationships with people were caring and supportive. Care workers knew people’s specific needs and how they liked to be supported.



Updated 24 February 2017

The service was responsive to people’s needs.

Care files were personalised to reflect people’s personal preferences.

There were regular opportunities for people and people that matter to them to raise issues, concerns and compliments. People were confident their concerns would be listened to by the registered person and acted upon.



Updated 24 February 2017

The service was well led.

Care workers spoke positively about the registered manager and how they

worked alongside them and listened to their views.

People’s views and suggestions were taken into account to improve the


A number of effective methods were used to assess the quality and safety of the service people received.