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Inspection Summary


Overall summary & rating

Good

Updated 8 September 2018

The inspection took place on 17 and 26 July 2018. Day one was unannounced and we arranged with the registered manager to return on day two. We brought the inspection forward following concerns raised by a whistle blower relating to medicines management, confidentiality, nutrition, maintaining people’s dignity, training and culture of the service. At this inspection we found that although there were some minor issues relating to medicines management there was no other evidence to support the allegations.

Lifestyles is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service provides accommodation for up to 19 adults who have mental health needs. Five people living at the service had a learning disability.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The house is made up of three converted properties in a residential area of York and blends well into a row of town houses.

The care service has been developed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism who used the service could live as ordinary a life as any citizen.

There was a registered manager employed at Lifestyles.

People told us they were safe and we saw that policies and procedures were followed by staff to support this.

Risks to people’s health and safety had been identified. Medicines were managed safely.

Staff recruitment was robust. There were sufficient staff on duty to meet people’s needs. They had been trained in subjects that were relevant. Staff told us they were well supported by the registered manager and through regular supervision.

People were encouraged to eat a nutritious diet and their choice of what to eat respected. People assisted with cooking.

Care plans were personal to each individual giving clear information about their needs. These were reviewed regularly.

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.

Activities were chosen by people and their choices supported by staff. Where those activities posed a risk staff worked with people to keep them safe.

Staff were positive in their praise of the management team and enjoyed working at the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 8 September 2018

The service remains good.

Effective

Good

Updated 8 September 2018

The service remains good

Caring

Good

Updated 8 September 2018

The service remains good.

Responsive

Good

Updated 8 September 2018

The service remains good.

Well-led

Good

Updated 8 September 2018

The service remains good.