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Westminster Homecare Limited (Independent Living Network) Good

Inspection Summary


Overall summary & rating

Good

Updated 19 October 2017

Westminster Homecare Limited (Independent Living Network) is registered to provide a supported living and domiciliary care service to people living in their own home. This service included that for people living with autism and learning difficulties. At time of our inspection there were 120 people using the service. The service is provided to people living in Cambridgeshire, Fenland and Peterborough areas. Their head office is located in the city of Ely.

This announced comprehensive inspection was undertaken by one inspector and an expert by experience and took place on 26 and 27 September 2017. At the previous inspection on 25 and 26 November 2015 the service was rated as ‘Good’. At this inspection we found the service remained 'Good'.

A registered manager was in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Staff had retained the knowledge and skills from their safeguarding training to be able to protect people's rights whilst keeping them as safe from harm as possible. Staff knew the correct procedures to follow should they need to report and concerns they may have had about people's safety such as with medicines' administration.

Accidents and incidents such as those for people whose behaviours could challenge others and medicines administration were acted upon. A robust recruitment and staff selection process ensured that only staff who had been deemed suitable to work with people using the service were employed.

People were supported with the safe management and administration of their prescribed medicines by staff who had been deemed competent to do this.

Systems and processes remained in place to manage risks to people's safety and wellbeing. These were being followed to help ensure that any risk to people such as in their home, out in the community or using transport was managed as far as practicable.

A sufficient number of competent and skilled staff were able to meet people’s assessed needs. This helped ensure that people were given the help and support when they needed it and that this assistance was effective.

Staff continued to have received appropriate induction, training, support and development to carry out their role in a way which people benefited from.

People were enabled to access health care services and appointments by staff who made a difference to the quality of people's health. People were supported to eat and drink in a way which assisted with their nutritional needs.

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.

People's care and support was provided with consideration, kindness, sensitivity and compassion by staff who respected people's right to privacy.

People were given and provided with various means and opportunities to comment on the quality of their care. People's suggestions and views were acted on promptly and this helped improve the quality of life that people lived.

People's interests, hobbies and pastimes were encouraged by skilled staff in an individual way such as enabling people to achieve ambitions that were previously not thought possible. As a result of staff interventions and respect for people’s independence, people led a more meaningful life.

The registered manager had created an inclusive atmosphere within the service and this had fostered an open and honest staff team culture. Staff were confident to report any care that was not up to the provider's standards.

Effective quality assurance systems and spot check/audit procedures were in place to drive improvements. Timely actions were

Inspection areas

Safe

Good

Updated 19 October 2017

The service remained Good.

Effective

Good

Updated 19 October 2017

The service remained Good.

Caring

Good

Updated 19 October 2017

The service remained Good.

Responsive

Good

Updated 19 October 2017

The service remained Good.

Well-led

Good

Updated 19 October 2017

The service had improved to Good.

Action had been taken to improve the identification and reporting of incidents. The registered persons had ensured that they had notified us about events they are required to tell us about.

Effective quality assurance and governance arrangements were in place to identify and implement improvements.

The registered manager had established and fostered an open and honest staff culture This had created an environment where staff felt completely comfortable in reporting any incidents such as errors relating to medicines recording.