Archived: Changing Lives UK

This inspection took place on 20 January 2016 and was unannounced.

Changing Lives UK is situated in the Littleover area of Derby and provides a care home service for up to two adults. The home specialises in caring for older people and people with Learning disabilities. At the time of this inspection there was one person living at Changing Lives UK. The provider is also registered to provide a domiciliary care service. At the time of our visit five people were receiving this service.

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.’

The provider ensured staff understood how to protect people from abuse and were responsive to their needs. People were protected against the risk of abuse, as pre-employment checks were made to confirm staff were of good character to work with people. There were sufficient staff available to meet people's needs. The registered manager and the team leader were also the providers and main care staff.

People received their medicines as prescribed and safe systems were in place to manage people’s medicines.

Risk assessments and care plans had been developed with the involvement of people and their representatives. Staff had the relevant information on how to minimise identified risks to ensure people were supported in a safe way.

The manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People were involved in making decisions where possible and their legal rights upheld, which ensured that the least restrictive option was taken in a best interest decision for them.

People received care from staff that were respectful and caring and ensured that people’s privacy and dignity was maintained. Care people received was personalised and responsive to their needs.

People were supported to maintain good health; we saw that staff alerted health care professionals if they had any concerns about a person’s health.

People’s representatives knew how to make complaints and were confident these would be acted upon.

The provider did not have formal systems in place to audit the quality of the service being provided.

People's diverse needs were met because the staff had the correct language skills to communicate effectively with them. People's daily routines, the meals provided and support given by staff, enabled the people using the service to follow their culture preferences and religious observances.

We observed staff supporting people in a positive and friendly way. It was clear from our observations that staff had developed positive relationships with the people using the service and understood their needs and preferences.

People received their medication as prescribed and staff had undertaken the appropriate training to ensure this was done in a safe way.

Sufficient numbers of staff were on duty to ensure people's needs were met effectively.

The provider was also registered to provide a domiciliary care service. At the time of our visit we were advised that no one was receiving this service. Since this inspection the provider has confirmed that one person is using the domiciliary care service, we will inspect this service at our next visit.

People's diverse needs were met because the staff employed had the correct language skills to communicate effectively with them. People's daily routines, the meals provided and support given by staff, enabled the people using the service to follow their culture preferences and religious observances.

People's records were detailed in their support plans and risk assessments. This information had been regularly reviewed, which ensured it was up to date and relevant to the individual's current support needs.

Staff training records demonstrated that staff were provided with all areas of mandatory training. This meant that staff were working to current practice to ensure people were supported in a safe way that met their needs and protected their rights.