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LH Social Care Limited - Barnsley Good

Inspection Summary


Overall summary & rating

Good

Updated 28 March 2018

The inspection of L H Social Care Ltd took place on 24 January 2018. We previously inspected the service on 22, 23 and 24 November 2016 and the service was rated as requires improvement in two of the five key questions and overall, and as good in three of the five key questions. On this visit, we checked to see if improvements had been made.

L H Social Care Limited is a domiciliary care and supported living service. It provides personal care for adults and children living in their own homes throughout Barnsley and the surrounding areas. People who use this service have a wide range of needs including younger and older people who are living with a learning disability, people living with dementia, as well as people with mental health needs and physical disabilities. At the time of our inspection 33 people were receiving support from this provider.

The service had a registered manager in place. 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.

There were risk assessments in place which covered the environment in which people were supported and person specific risk assessments which identified risks and the measures which were put in place to minimise the risks to people.

People who used the service and their relatives told us people were very safe with their care workers. They also said staff knew what they are doing and were kind and respectful. People were happy with the service they received from LH Social Care Limited.

People were supported with medication and told us they were confident their medication was administered and recorded properly. People with prescribed topical creams said these were applied properly and care workers took appropriate hygiene precautions. We found body maps were not always completed within care plans to show where creams needed to be applied.

Staff recruitment was robust and staffing levels were sufficient to meet people’s needs. People were supported by small teams of regular care workers.

Records showed staff had access to training and regular supervision. Staff we spoke with told us they felt supported.

People told us they were not routinely informed if care workers would be arriving later than the scheduled care visit time. The service was in the process of implementing a rota management system and we will check the effectiveness of the system at our next inspection.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff had undertaken training on the Mental Capacity Act (2005) and deprivation of Liberty Safeguards. Staff were able to explain how this legislation related to the people they supported, which meant people’s rights were being protected.

People told us their care workers are kind and compassionate.

Care workers promoted and respected people’s confidentiality, dignity and privacy. Care workers took time to build a good rapport and got to know the people they supported.

People received support with their nutrition and dietary requirements.

People and their relatives were involved in their care planning and in agreeing the support they needed.

People were supported to retain their independence. People told us they were able to make their own decisions and their preferences were taken into consideration.

The service had a complaints policy and process in place. People told us they knew what to do if they had any concerns or complaints about the service.

Feedback regarding the registered manager was positive. People spoke highly about the management of the service.

A system of audits and checks was in place to monitor the safety and quality o

Inspection areas

Safe

Requires improvement

Updated 28 March 2018

The service was not always safe.

People told us care workers would arrive late for care visits and people were not routinely informed of the delay.

People felt safe with the care provided.

Risks to people and been assessed and managed.

Safe recruitment processes were in place.

Effective

Good

Updated 28 March 2018

The service was effective.

Consent to care had been sought and gained from people whose care records we reviewed.

Staff were supported with training and supervision to provide effective care.

People were supported with their hydration and nutrition needs.

Caring

Good

Updated 28 March 2018

The service was caring.

People told us the staff were kind and caring.

Staff maintained people�s privacy and dignity.

People were supported to retain their independence.

Responsive

Good

Updated 28 March 2018

The service was responsive.

Care plans were regularly reviewed and when people�s needs changed.

The service had a complaints policy and people knew how to make a complaint if they needed to.

People were supported to maintain relationships with people who mattered to them.

Well-led

Good

Updated 28 March 2018

People and staff told us they felt the service was well-led. We received positive feedback about the registered manager.

Quality assurance systems and audits were in place to develop and improve the service.

Regular meetings were held with staff.