You are here

East Living - Domiciliary Care Service Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 13 February 2018

East Living Domiciliary Care Service provides care and support to people living in four ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

This inspection took place on 5 and 12 December 2017 and was announced. The provider was given at least 48 hours' notice because the location provides a supported living service for people who are often out during the day. At the previous inspection in October 2016, the service was rated as Requires Improvement with no breaches. At the last inspection the service was providing personal care support to 77 people in supported living schemes for adults with learning disabilities and extra-care and sheltered housing schemes for older adults. Since the last inspection the service had changed its model of care and now was providing support to nine people living in supported living schemes for adults with learning disabilities.

There were two registered managers at this service. 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 who used the service, relatives and health professionals were complimentary about the standard of support provided. The locality manager involved families and other agencies to ensure people received the support they needed to express their views and make decisions that were in their best interests. Relatives and professionals were very positive about the service people received. The service specialised in supporting adults with behavioural problems.

Positive risk taking was driven through the safe use of innovative and pioneering technology in order to support people to live fulfilling lives. The registered managers and staff had an excellent understanding of managing risks and supported people that had previously challenged services to reach their full potential. The service was seen to constantly adapt and strive to ensure people who used the service were able to achieve their full potential. Over a period of time we saw that people were supported to progress and their support plans and environment adapted and developed to promote their independence.

The service had developed and sustained effective links with professionals and this helped them have a multidisciplinary approach in supporting people. Their success in achieving positive outcomes for people and their ability to develop best practice led to them being asked to share their ideas with other organisations that supported people with learning disabilities. This meant the service was being an excellent role model for other services.

People’s needs were assessed and their preferences identified as much as possible across all aspects of their care. Risks were identified and plans were in place to monitor and reduce risks. People had access to relevant health professionals when they needed them. There were sufficient numbers of suitable staff employed by the service. Staff had been recruited safely with appropriate checks on their backgrounds completed. Medicines were stored and administered safely.

Staff undertook training and received regular supervision to help support them to provide effective care. Staff had a good understanding of the Mental Capacity Act 2005 (MCA). MCA is legislation protecting people who are unable to make decisions for themselves. We saw people were able to choose what they ate and drank.

People had access to a wide variety of activities within the community. People’s cultural and religious needs were respected when planning and delivering care. Discu

Inspection areas

Safe

Good

Updated 13 February 2018

The service was safe. Staff were able to explain to us what constituted abuse and the action they would take to escalate concerns.

Risk assessments were in place which set out how to manage and reduce the risks people faced.

Medicines were recorded and administered safely.

Staff were recruited appropriately and adequate numbers were on duty to meet people’s needs.

Effective

Outstanding

Updated 13 February 2018

The service was outstanding in ensuring people received effective support. Positive risk taking was driven throughout the service using innovative and pioneering technology in order to support people to live safe and fulfilling lives.

Staff undertook regular training and had one to one supervision meetings.

The provider met the requirements of Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to help ensure people’s rights were protected.

People were supported to eat and drink sufficient amounts and eat nutritious meals that met their individual dietary needs.

People’s health and support needs were assessed and appropriately reflected in care records. People were supported to maintain good health and to access health care services and professionals when they needed them.

Caring

Good

Updated 13 February 2018

The service was caring. People and their relatives told us that they were well treated and the staff were caring. People could make choices about how they wanted to be supported and staff listened to what they had to say.

People were treated with respect and the staff understood how to provide care in a dignified manner and respected people’s right to privacy.

Responsive

Good

Updated 13 February 2018

The service was responsive. People’s needs were assessed and care plans to meet their needs were developed and reviewed with their involvement. Staff demonstrated a good understanding of people’s individual needs and preferences.

People had opportunities to engage in a range of social events and activities.

People knew how to make a complaint if they were unhappy about the service and felt confident their concerns would be dealt with appropriately.

People’s cultural and religious needs were respected. Staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

Well-led

Outstanding

Updated 13 February 2018

The service was well-led. The culture of the service was positive, person centred and forward thinking. The feedback we received from a professional, relatives and staff was that they all felt this service improved people’s lives.

With the support of the locality manager staff supported people to overcome significant barriers and achieved positive outcomes in their lives. The approach and ethos of the service was clearly communicated to everyone involved with the service by the locality manager.

The service had developed and sustained effective links with professionals and this helped them have a multidisciplinary approach in supporting people. Their success in achieving positive outcomes for people and their ability to develop best practice led to them being asked to share their ideas to other organisations that supported people with learning disabilities.

Staff told us the service had an open and inclusive atmosphere and the registered managers were approachable and open. The service had various quality assurance and monitoring mechanisms in place.