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County Care Independent Living Ltd (Lincolnshire Office) Good

Reports


Inspection carried out on 16 March 2020

During a routine inspection

About the service

County Care Independent Living Ltd (Lincolnshire Office) is a domiciliary care service providing personal care to children and adults who have a learning disability or mental health condition. The service provides care to people living around Skegness, Boston, Spalding and Holbeach.

Not everyone who used the service received 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. The service was providing personal care to four people at the time of the inspection.

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

The service applied the principles and values of Registering the Right Support and other best practice guidance. These 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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were enough staff to meet people’s needs and calls were completed on time. Staff were kind and caring and put people’s needs at the centre of the service. The care provided ensured people’s emotional needs were supported as well as their physical needs. Staff supported people’s privacy and dignity and helped people to become independent in caring for themselves.

Staff received the training and support needed to ensure the care they provided was safe and effective. This included training on how to support people with their medicines and how to keep people safe from the risk of infection. Staff understood the different type of abuse and were confident to raise concerns.

Care plans contained all the information staff needed to provide safe care. Risks were assessed using good practice guidance and where needed equipment was available to keep people safe. Care plans contained detailed information about people’s likes and dislikes and this enabled staff to provide care which supported people’s individual needs. Care plans noted when people needed help and support to communicate.

There were systems in place to monitor the quality of care people received and these had been effective in ensuring people received good quality care. People were offered opportunities to feedback their views on the care they received, and the registered manager took account of these views when reviewing how care was provided. No complaints had been received since our last inspection.

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 24 October 2018).

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 sooner.

Inspection carried out on 29 June 2017

During a routine inspection

The inspection took place on 29 June 2017 and was unannounced. This was the first time this service had been inspected.

The service provides personal care to people in their own homes in Lincolnshire. The service is provided for younger adults. At the time of our inspection there were two people receiving personal care from the service.

There was a registered manager for the 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.

There were enough staff to meet people’s needs and the provider ensured that they had the training and support needed to provide safe care. Appropriate checks were completed before staff were allowed to work with people using the service. Staff knew how to keep people safe from abuse and how to raise concerns with the provider and with external agencies.

Risks to people were identified and care was planned to keep people safe. Care plans contained all the information needed to support staff to provide personalised care. In addition staff developed a kind and caring relationship with people and encouraged them to make choices and develop their independence. People were encouraged to make choices about activities they would like to undertake.

The provider had effective systems in place to monitor the quality of care provided and to identify where changes may improve the experience of people using the service.