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Archived: Adult Placement Good

Inspection Summary


Overall summary & rating

Good

Updated 18 June 2015

The inspection took place on 21 January 2015 and was announced. We last inspected Adult Placement in October 2013. At that inspection we found the service was meeting all the regulations we inspected.

Adult Placement is a shared lives scheme that recruits, assesses and supports paid carers to support people with learning disabilities who are unable to live independently. Placements are made on a short or longer term basis and the person lives with their carer in their home as part of the family. At the time of our inspection the scheme was supporting 14 people and had 22 approved carers, including support carers who supported people on occasions when their designated carers had breaks and holidays.

The service had a registered manager in post. 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.

Robust processes were followed to recruit and assess people who applied to become shared lives carers, and to review the suitability of the existing carers. There were enough carers to deliver the service safely and people were provided with continuity of care. All carers were given training and support to meet the needs of the people they cared for, including regular opportunities to meet as a carers group and with the shared lives workers.

The shared lives workers were skilled and experienced in co-ordinating the scheme and were appropriately supported in carrying out their roles. They monitored the placements closely and had a good awareness of how to safeguard people from harm and abuse. The workers promoted personal safety whilst respecting people’s freedom to exert their independence and take risks.

Each person was encouraged to make choices and decisions about their care and living arrangements. Where people did not have the mental capacity to make important decisions, the scheme worked with other professionals to ensure their rights were being protected under mental capacity law.

We found that care and support was safely planned to minimise risks to people’s well-being.

People were supported to stay healthy, have a balanced diet, and, wherever possible, to manage their own medicines. Detailed support plans were drawn up which reflected the person-centred care that people received.

People who used the service, and professionals involved in their care, were happy with the care and support provided. They told us the shared lives carers were kind and caring and treated people with dignity and respect. People were placed with supportive individuals and families who enabled them to lead active lives, take part in enjoyable activities and develop their life skills.

There was an open culture and the team worked inclusively with people using the service, their carers, and other professionals. Systems were in place to obtain and act on feedback and make improvements to the quality of the service. An independent panel kept oversight of how the scheme was managed and delivered to make sure that standards were maintained.

Inspection areas

Safe

Good

Updated 18 June 2015

The service was safe.

People told us they were happy and safe living with their carers.

There were sufficient numbers of carers who were properly vetted before being approved to provide care to people.

Appropriate steps were taken to reduce risks to personal safety and safeguard people from being harmed.

People received suitable support to take their prescribed medicines safely.

Effective

Good

Updated 18 June 2015

The service was effective.

The shared lives workers and carers were properly trained and had the necessary skills and experience to carry out their roles.

The rights of people who were unable to give consent to their care were understood and protected.

People were given the support they needed to access health care services and maintain good health.

Caring

Good

Updated 18 June 2015

The service was caring.

People had good relationships with their carers and told us they were kind and caring.

People expressed their views and were involved in making decisions about their care and support.

The shared lives workers ensured that each person was being supported within a caring family environment.

Responsive

Good

Updated 18 June 2015

The service was responsive.

People’s needs and wishes were thoroughly assessed and support was well planned.

Personalised support was provided that helped people lead more independent and fulfilling lives.

Any concerns or complaints that were made were taken seriously and acted on.

Well-led

Good

Updated 18 June 2015

The service was well led.

There were established processes in place for managing and co-ordinating the scheme.

The registered manager and the shared lives workers understood their responsibilities and worked in line with national best practice guidance.

The quality of the service was monitored and improvements were being undertaken to further develop the training and support for the shared lives carers.