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Inspection carried out on 30 September 2019

During a routine inspection

About the service

Shaf Lodge provides care and support to people in their own homes. People using the service have a learning disability and/or mental health need. The service offers 24 hour staffing support to people living in ‘supported living’ settings.

Where people live in their own home they receive care and support in order to promote their independence. As there is a separation between the care and accommodation, the care they receive is regulated by the CQC, but the accommodation is not.

At the time of our inspection, 17 people were using the service, however not everyone was receiving personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do – we also consider any wider social care provided.

People receiving supported living services rent their accommodation separately from the care that was provided by the service. These were small houses in residential neighbourhoods, shared by three, five or six people. Where care staff were required to remain at the service overnight, they were provided with appropriate arrangements.

People’s experience of using this service and what we found

People were placed at the heart of this service. The service applied the principles and values of Registering the Right Support and other best practice guidance. These principles ensure 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. Outcomes for people using Shaf Lodge reflected these principles. Their support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People and relatives’ comments were extremely positive. They told us they were very happy with the service and the support they received from the registered manager and staff. People’s comments included, “I like living here”, “We have lots of fun”, “Staff are great” and “I do nice things and go out a lot.”

People received a safe service. Staff supported people in the least restrictive way possible and this helped them to lead their best lives. Staff had a good understanding of the Mental Capacity Act 2005, and people were supported to have maximum choice and control over their lives. The providers policies and systems supported this practice.

Safe recruitment practices ensured the suitability of newly appointed staff. People were supported by enough staff with the right experience, training and skills to meet their needs. Staffing levels were flexible and supported people to follow their interests, take part in social activities and, where appropriate, education and work opportunities.

Medication was managed safely and administered correctly. People were supported to maintain good health. They received continuing healthcare support to meet their needs and had prompt access to healthcare professionals when they became unwell. Staff promoted healthy eating. They supported people to balance choice with healthy options and people's preferences contributed to the menu planning.

The registered manager was knowledgeable, inspired confidence in the staff team and led by example. There was a strong emphasis on promoting good practice and a well-developed understanding of equality, diversity and human rights, and management and staff put this into practice. Quality assurance systems helped to ensure the service delivered was of high quality and safe and continued to improve.

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

Rating at last inspection

The last rating for this service was Good (published 11 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect s

Inspection carried out on 10 January 2017

During a routine inspection

This inspection took place on the 10 January 2017 and was unannounced. The inspection team consisted of one inspector.

Shaf lodge is a five-bedded supported living service that offers 24 hours staffing support to people with mental health and mild learning disability. At the time of our inspection there were three people using the service. The focus of the service is to support people to maintain a healthy life style and this is achieved by the services’ commitment to provide a highly individualised support programme that promotes social and mental wellbeing.

The service has a registered manager. ‘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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

Suitable arrangements were in place to ensure that people received appropriate care and support to meet their needs. Staff knew the needs of the people they supported and they were treated with respect and dignity. People’s healthcare needs were well managed and they had access to a range of healthcare professionals. The management of medicines within the service ensured people’s safety and wellbeing.

People’s needs were met by sufficient numbers of staff. Suitable arrangements were in place to ensure that staff had been recruited safely and that they received opportunities for training and supervision. People were safeguarded from harm as suitable safeguarding arrangements were in place. Staff had received training in Mental Capacity Act (MCA) 2005 and had knowledge of Deprivation of Liberty Safeguards (DoLS) and how to apply these. The registered manager was aware of how and when to make a referral. People had sufficient amounts to eat and drink to ensure that their dietary and nutritional needs were being met.

People were provided with the opportunity to participate and engage in activities of their choice, which met their needs. Relatives and people who used the service knew how to make a complaint and we felt reassured that all complaints would be dealt with and resolved efficiently and in a timely manner.

The service had a number of ways of gathering people’s views, which included holding meetings with people, staff, and relatives. The registered manager carried out a number of quality monitoring audits to help ensure the service was running effectively and to help them make any improvements.