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Inspection Summary

Overall summary & rating


Updated 16 July 2019

About the service

Livability Wall Street is a residential care home in Hereford city centre providing personal care for up to 10 people in a purpose-built environment. It specialises in supporting older people with cerebral palsy, multiple sclerosis, acquired brain injury and stroke. At the time of our inspection, there were 9 people living at the home. The service also provides personal care to 10 people living in three 'supported living' settings and one person living in their own flat, all of whom live within Gloucestershire.

People’s experience of using this service and what we found

People were protected from abuse by staff who understood how to identify and report any abuse concerns. The risks to people’s health, safety and welfare had been assessed, recorded and plans put in place to reduce these. Staffing levels enabled people’s needs to be met safely, and ensured those receiving care in supported living settings or their own home received a consistent and reliable service. The provider and management team sought to learn from any accidents or incidents involving people. Steps had been taken to protect people from the risk of infections.

People’s individual needs and requirements were assessed with them before they started to use the service. Staff received an effective induction, followed by ongoing training and management support to enable them to work effectively. People had enough to eat and drink, and any risks associated with their eating or drinking were assessed and managed. Staff and management worked effectively with community health and social care professionals to ensure people’s health needs were met and to achieve positive outcomes for 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.

Staff adopted a friendly, caring and professional approach in their work and this gave people confidence to express their views about the care provided. People were treated with dignity and respect at all times and staff promoted their independence. Staff and management understood the need to promote equality and diversity and consider people’s protected characteristics.

People and their relatives’ involvement in decision-making about the care provided was encouraged by staff and management, and their views were listened to. People’s care plans supported a person-centred approach and were followed by staff. People had support to lead lifestyles of their choosing, access the local community and participate in recreational activities. People and their relatives understood how to raise any concerns or complaints about the service. People’s wishes and choices about their end of life care were explored with them.

The management team promoted a positive and inclusive culture within the service, based upon open communication with people, relatives, community professionals and staff. Staff told us the management team were approachable and felt their own work was valued. The provider’s had quality assurance systems and processes in place to enable them to monitor and improve the quality of people’s care.

Rating at last inspection

The last rating for this service was good (published 28 June 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 16 July 2019

The service was safe.

Details are in our safe findings below.



Updated 16 July 2019

The service was effective.

Details are in our effective findings below.



Updated 16 July 2019

The service was caring.

Details are in our caring findings below.



Updated 16 July 2019

The service was responsive.

Details are in our responsive findings below.



Updated 16 July 2019

The service was well-led.

Details are in our well-led findings below.