You are here

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 28 April 2018

Shared Lives Derbyshire is a local authority operated service that supports adults with a learning disability or autistic spectrum disorder to live in the community, in the family home of their shared lives carer. Shared Lives schemes offer an alternative to both residential and more traditional care at home services for people who need personal care and support with their day to day lives. The Care Quality Commission (CQC) regulates the provision of personal care for people who use the service.

At the time of the inspection Shared Lives Derbyshire was involved in supporting people with a learning disability or autistic spectrum disorder who were settled in long-term placements or who took short respite care breaks. The provider is responsible for appointing, training, monitoring and supporting local carers who are self-employed and receive a payment for providing people with personal care, accommodation and other assistance.

This inspection took place on 6 February 2018 and was announced. The provider was given 48 hours’ notice of our intention to conduct the inspection, as we wished to ensure key staff would be available to contribute to the inspection. Telephone calls to shared lives carers were completed on 12 and 13 February 2018. On 23 March 2018 we visited four people at a day centre who lived in full time shared lives arrangements.

At our previous inspection in July 2017, we found one continued breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We issued a warning notice in relation to the key question, ‘Does the governance framework ensure that responsibilities are clear and that quality performance, risks and regulatory requirements are understood and managed?’ At this inspection we found improvements had been made and the service now met this regulation.

Systems and processes were now in place to check on the quality and safety of services, including medicines administration, with carers trained in medicines administration and medicines administration records kept. Carers training was now monitored to ensure carers met the training requirements set by the provider. Policies specific to the governance of the shared lives scheme were now in place.

People made decisions in relation to their care and support and received support to enable them to be as involved as possible; where people needed support to make decisions their rights were protected under the Mental Capacity Act 2005; we found this had been followed for most people. Care plans were reviewed with people and their carers. People understood their care and support because carers worked with other professionals to ensure people received information in a way that they could understand.

The service is required to have a registered manager. 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. At the time of our inspection there was a registered manager in post. The registered manager understood their responsibilities for the management and governance of the service. The service was focussed on achieving good quality outcomes for people. The service was managed with an open and transparent culture where people were listened to and carers were valued.

The provider had systems in place to enable carers to recognise and respond to allegations or incidents of abuse or harm. Risk assessments were in place to identify day to day risks, as well as risks associated with people’s health conditions; actions were taken to reduce these known risks. Recruitment processes helped to ensure carers were suitable for their role. Processes were in place to match people to suitable carers and therefore carers had sufficient time to care for

Inspection areas

Safe

Good

Updated 28 April 2018

The service was safe.

Risks were assessed and actions taken to reduce risks. Actions had been taken to help manage medicines safely and to prevent and control infections. Carers had sufficient time to care for people. Recruitment processes helped to ensure carers were suitable for the role. Carers understood how safeguarding procedures helped to protect people.

Effective

Good

Updated 28 April 2018

The service was effective.

Information was presented to people in ways they could engage with and understand. Carers were trained in line with the provider’s expectations; carers received support in their role. People’s health was monitored and responded to appropriately; people received care to ensure a balanced diet. People’s needs and choices were assessed in a way that helped to prevent discrimination. The MCA had been applied for most people when needed.

Caring

Good

Updated 28 April 2018

The service was caring.

People formed positive relationships with their carers and benefitted from living as part of a family. Carers respected people’s privacy and dignity and promoted their independence. People were involved in decisions about their care and support.

Responsive

Good

Updated 28 April 2018

The service was responsive.

People were involved in planning their care and support. Carers were aware of people’s interests, hobbies and preferences, and often shared these with them. People and carers were supported to raise issues; issues raised were investigated and responded to.

Well-led

Good

Updated 28 April 2018

The service was well led.

A registered manager was in place and they understood their responsibilities for the management and governance of the service. The service was focussed on achieving good quality outcomes for people. There was an open and transparent culture in the service where people were listened to and carers were valued. Systems were in place to monitor and improve the quality of the service provided.