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LDC Supported Living Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 April 2020

About the service

LDC Supported Living is a supported living service for people with a learning disability and autism. Some people lived with others and shared houses and shared amenities such as kitchens, bathrooms and lounges with other people. Other people lived alone. People received care and support to help them live independently in the community. There were 41 people receiving a personal care service at the time of our inspection.

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 and what we found

Staff received safeguarding training, however, we found this had not always been effective with staff’s actions on occasions leaving people at risk. Staff did not always feel confident that all the managers in the service would take action about concerns. The provider did take appropriate actions when made aware of issues.

Staff recruitment systems were not always effective in ensure staff were suitable for their roles. Action was taken by the provider to resolve this after the inspection. Some records relating to people’s care were not accurate or required updating. Documents were not always easily accessible and on occasions used language about people which could be perceived as derogatory. Information was not always shared with other professionals in a timely fashion. After the inspection, the provider put in place a new system for recording information which should address many of these concerns.

People were supported to take part in a range of activities they enjoyed. This gave them the opportunity to develop new skills and have new experiences. People were supported by staff who knew them well and who gave them information in the way they understood such as pictures or their first language. People were supported and encouraged to maintain relationships with friends and family who were important to them.

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. The provider and staff advocated for people and supported them to challenge discrimination. People were supported in the way they preferred by staff who had the training and support to carry out their roles. People were supported to stay healthy, by attending health appointments and having a healthy diet.

The provider used recognised tools such as person-centred planning and positive behaviour support to form the foundation of people’s care. The provider worked with other agencies such as the police and educational organisations to raise awareness of the needs of people with a learning disability. The provider was an active member of local care organisations and took part in projects with the NHS. People’s complaints were responded to appropriately. People, staff and relatives were asked for their views of the service, which were used to form the basis of action plans.

The service applied the principles and values the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 8 September 2017).

Inspection areas

Safe

Requires improvement

Updated 7 April 2020

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 7 April 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 7 April 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 April 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 7 April 2020

The service was not well-led.

Details are in our well-Led findings below.