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Hillingdon Shared Lives Good

Inspection Summary


Overall summary & rating

Good

Updated 30 April 2019

About the service:

¿ Hillingdon Shared Lives provides respite care, short and long-term care and accommodation for adults and young people over the age of 16 years. People who used the service had a range of needs including learning disability, mental health needs or were going through a difficult period in their lives and needed care and support. The service enabled people to live in the community with families (shared lives carers) in their homes. Shared lives officers coordinated this care and supported the shared lives carers as well as the people receiving the service. At the time of our inspection 38 people were using the service, 14 of whom only required occasional respite stays. There were 24shared lives carers providing a service and some were able to accommodate up to three people.

People’s experience of using this service:

¿ An experienced registered manager had been leading the service for five years and they demonstrated a sound knowledge, passion and enthusiasm for their role and the service. They led a strong team of shared lives officers who were dedicated and provided a high-quality service for people who used the service.

¿ Feedback from people who used the service was extremely positive with regards to all aspects of their care. They were very complimentary about the shared lives carers who supported them and the service in general. They told us all their needs were met and that the shared lives carers treated them with the ''utmost'' respect and promoted their independence. They said they felt part of the family in their homes and were supported to lead active lives in the community.

¿ The provider was responsive to the diverse needs of people across the borough and had embedded the ethos of promoting equality, diversity and human rights across all areas of the service, from the recruitment of shared lives carers and the matching process between people and their shared lives carers.

¿ The provider had robust monitoring systems in place to ensure the service ran effectively, which included unannounced spot checks of the shared lives carers, internal monitoring visits and medicines audits.

¿ Shared lives carers demonstrated a in depth understanding of people's needs and preferences and treated them as individuals. The shared lives officers ensured there was a thorough matching process in place which helped to ensure that placements were appropriate and successful. People and their shared lives carers were given opportunities to meet and get to know each other before placements were finalised. Arrangement agreements helped to ensure that everyone was aware of their responsibilities and the support that people would be given.

¿ Care plans contained detailed information about people’s individual needs, preferences and choices, and we saw evidence they were involved in the care planning and reviewing processes. People were supported to lead active lives, develop their life skills and take part in activities of their choice.

¿ People and shared lives carers knew how to complain about the service if they had a concern. Information was available in a pictorial and easy-read format.

¿ Where appropriate, people were consulted about their end of life choices and these were recorded in their care plan. Staff received training in end of life care.

¿ People who used the service told us they felt safe living with the shared lives carers, and they were treated well. They, the shared lives carers and shared lives officers, received training in safeguarding and there were policies and procedures to ensure people were protected from avoidable harm and abuse.

¿ Where there were risks to the safety of people who used the service, these had been assessed, and measures were in place to reduce the risk. Risk assessments and support plans were regularly reviewed and updated.

¿ Where people required support with their medicines, this was managed safely.

¿ There were robust recruitment processes for both shared lives of

Inspection areas

Safe

Good

Updated 30 April 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 30 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 30 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 30 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Outstanding

Updated 30 April 2019

The service was exceptionally well-led

Details are in our Well-Led findings below.