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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 12 March 2019

About the service: London Borough of Bexley (Shared Lives) is a Shared Lives Service that recruits, trains and supports self-employed Shared Lives Carers(SLCs) who provide placements and respite care for vulnerable adults within their own family homes in the community. The service supports people with learning disabilities and or autism.

Not everyone using this shared lives service receives a regulated activity. CQC only inspects the service being received by people provided with 'personal care'. This includes help with tasks related to personal hygiene and eating. In these circumstances we also take into account any wider social care provided. At this inspection there were 18 people using the service who received personal care.

People’s experience of using this service:

¿People received person-centred care that met their needs, encouraged them to learn new skills and increased their confidence, It helped them to achieve their goals and be active in the local community, where this was their choice.

¿ People's privacy, dignity and independence was promoted. SLCs and scheme staff understood the Equality Act and supported people’s diverse needs.

¿The service applied the values and principles of CQC guidance Registering the Right Support (RRS) and other best practice guidance; as people were enabled to make choices about their lives and were supported to be as independent as possible. These principles ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

¿People told us they felt safe. Staff and SLC knew how to recognise signs of abuse or harm and what action they needed to take to keep people safe.

¿ Robust recruitment and assessment checks were completed before SLCs were approved to join the scheme. People were matched to suitable SLCs who fully involved them in their home and family life as much as people chose. There were enough staff and SLC to run the scheme.

¿ SLCs told us they were very well supported by the scheme and they received suitable training to meet the needs of people using the service. Dedicated training was provided to meet people’s individual health needs.

¿ People's needs were assessed before they joined the scheme and where risks were identified, there were plans in place to manage these safely.

¿ Medicines were safely managed. SLCs knew how to reduce any infection risks for people.

¿ People were supported to maintain good health and had access to healthcare services. SLCs worked with health professionals to meet people’s needs.

¿ People were encouraged to eat healthily and to develop skills in food preparation.

¿ 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.

¿ There was a registered manager and people, SLCs and staff spoke positively about the way they ran the service.

¿ There were effective systems in place to assess and monitor the quality of the service provided.

¿ Feedback from people, SLCs and families was requested and acted on.

¿ The service worked with other organisations and professionals to plan and deliver an effective service.

Rating at last inspection: Good (report published 23 August 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. We found the service continued to meet the characteristics of Good in all areas.

Follow up: We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 12 March 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 12 March 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 12 March 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 12 March 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 12 March 2019

The service was well-led

Details are in our Well-Led findings below.