Livability Wall Street

Updated 22 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 was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience carried out telephone calls to people following our onsite inspection.

Service and service type

Livability Wall Street 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 Wall Street is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service also provides care and support to people living in three ‘supported living’ settings, so that they can live as independently as possible. In these settings, people’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. We did not look at the ‘supported living’ settings as part of 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 3 people who lived at the home about their experience of the care provided and 7 relatives. We spent time observing interactions between people and staff to help us understand the experience of people who could not speak with us.

We spoke with 9 members of staff including the registered manager, peripatetic manager, senior care staff and care staff.

We reviewed a range of records which related to people’s care and the management of the service. This included 2 people’s care records, which included risk assessments and 2 people’s medication files. We also looked at other documents such as, training, quality assurance records, policies, and procedures and 2 staff files in relation to recruitment were reviewed. The registered manager sent us documentation we asked for.

Updated 22 December 2023

About the service

Livability Wall Street is a residential care home providing regulated activity personal care to up to 10 people. The service provides support to adults with learning disabilities and physical disabilities. Downstairs accommodates 8 people and upstairs accommodates 2 people living in self-contained flats. At the time of our inspection there were 10 people using the service.

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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: People lived in a central location and were able to easily access chosen activities, leisure and transport links. People were able to make choices about their lives and how they wanted to spend their time. People received personalised care tailored around their needs and preferences. This enabled people to follow their own interests. People received their medicines as prescribed. Where appropriate people were supported to manage their own medicines to maximise their independence. People were supported to have maximum autonomy, 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: People received kind and compassionate care. Staff protected people’s privacy and dignity. Risks to people were managed and appropriately mitigated by a staff team who were dedicated to supporting people’s independence. Staff worked with other health and social care professionals to ensure people received the care and support they needed.

Right Culture: The management team had worked hard to develop a positive culture where people could speak freely. Staff spoke positively about the management of the service and the support they received. Staff were committed to providing people with opportunities to feel part of the community and to lead a quality life of their choosing. Audits and checks were completed regularly to monitor performance and identify any areas of possible improvement within 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 16 July 2019).

Why we inspected

The inspection was prompted in part due to concerns received about staffing, management and care for people that lived there. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring, responsive and well-led sections of this full report.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Livability Wall Street 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.