Livability Keefield

Updated 30 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

Livability Keefield is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Livability Keefield is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, the service lead manager and 3 staff. We spoke with 3 people who used the service and 3 relatives about their experience of the care provided. Some people were not always able to communicate verbally with people effectively. We also observed people's care and their interactions with staff to understand their experience.

We reviewed 3 people's care records, including their medicines records. We looked at 2 staff files in relation to recruitment and staff supervision. We reviewed records relating to the management of the service. We asked the service manager and registered manager to send us documents after the on-site inspection. These were provided in a timely manner and this evidence was included as part of our inspection.

Updated 30 December 2023

About the service

Livability Keefield is a 'care home' providing accommodation and nursing or personal care to up to 10 people. The service provides support to people with a learning disability and autistic people. At the time of our inspection there were 10 people using the service. The service consists of 2 bungalows each accommodating 5 people.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. There was enough staff to meet people’s needs safely. 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.

Right Care

Observations in the care home were positive and people had good relationships with staff at the service. Staff had received safeguarding training and understood how to protect people from abuse and avoidable harm.

Right Culture

The ethos, values, attitudes and behaviours of the registered manager and service delivery team and the support staff ensured people using services lead confident, inclusive, and empowered lives. There were systems in place to monitor the quality of the services provided and a culture of improvement had become embedded in the service.

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 13 February 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Livability Keefield on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.