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We are carrying out a review of quality at L S Care Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 24 March 2017

This inspection took place on 6, 7 and 8 February 2017. The inspection was announced. We last inspected the service in September 2015 and asked the provider to take action to make improvements to medicines management and mental capacity. An action plan was submitted by the provider and we found the action had been completed.

L S Care Limited provides nursing and personal care for people living in their own homes, some of whom have complex health needs. L S Care Limited is also registered to provide care for children under the age of 18. At the time of the inspection they were supporting 26 people living across Northumberland, Newcastle, South Tyneside, North Tyneside and Gateshead. Some people received care and support 24 hours a day whilst other people had visiting support.

There were two registered managers in post at the time of the inspection.

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.

People and their relatives said they felt safe receiving care from staff. They said they felt staff were caring and treated them with dignity and respect. People also thought staff were well trained and had the knowledge they needed to care for them appropriately.

Medicines were managed safely and new procedures and training had been developed since the last inspection.

Staff had attended mandatory training in areas such as safeguarding, moving and handling and medicines management. Staff also attended training relevant to any specific needs of the people they were supporting, such as the use of ventilators, suction machines and feeding tubes. Staff also attended training on specific diagnoses such as motor neurone disease.

Staff told us they felt well supported by the management team. They said they had regular supervisions and an annual appraisal. They also said they could access out of hours support and advice when needed.

Complaints, safeguarding concerns, accidents and incidents were documented, investigated and discussed in regular quality meetings.

Capacity was recorded within care records which made it very clear that people had been involved in developing their care plans and risk assessments and were able to direct their own care and support. If there was a concern that someone may lack capacity, appropriate professionals were involved and the provider completed an internal assessment of capacity. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Robust recruitment practices were in place which supported the recruitment of appropriate staff. Practice included confirming references and seeking Disclosure and Barring Service Checks which were renewed every three years.

Care records and risk assessments were detailed and personalised. People’s likes and dislikes were documented, including their preferred routines and how they wanted to be supported. The clinical and training managers visited people and reviewed their care packages on a monthly basis. The views of people, relatives and staff were all considered and everyone worked together to achieve positive outcomes with people.

Staff, people and relatives told us they thought L S Care Limited was well-led. Quarterly audits were completed to ensure care records met the required standard, were up to date and detailed.

Staff felt they were well supported and could seek the advice and guidance of the management team as and when needed.

Inspection areas

Safe

Good

Updated 24 March 2017

The service was safe.

Medicines were managed safely.

People had a core team of staff who knew their needs well and were appropriately skilled and competent to support them.

Risks were assessed and well managed.

Staff understood reporting procedures for safeguarding adults and children.

Effective

Good

Updated 24 March 2017

The service was effective.

Staff completed training in mandatory areas and those specific to the needs of people they were supporting.

The principles of the Mental Capacity Act (2005) were followed and care plans were very clear that people had capacity to made decisions.

People were supported with meeting their nutritional needs and had access to external health care professionals and internal clinical managers.

Caring

Good

Updated 24 March 2017

The service was caring.

People and their relatives, where appropriate, were involved in care planning and reviews. Parents of the children supported by the service were consulted on care plans and any proposed changes to care plans were discussed with people and families in advance.

People and their relatives were very positive about the care they received. People said they were treated with dignity and respect and the support they received was invaluable.

Responsive

Good

Updated 24 March 2017

The service was responsive.

Care records were personalised and included detailed routines for staff to follow. There was also information on people’s individual preferences and the areas where people did not need support which encouraged people to remain independent.

Complaints were recorded and investigated. Apologies were readily offered where relevant and appropriate.

Well-led

Good

Updated 24 March 2017

The service was well-led.

The management team included directors, registered managers and clinical and training managers who were supportive of people and staff.

Regular audits were completed and the clinical managers made weekly visits to see people.

Staff said they felt well supported and listened to by the management team.