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Inspection Summary


Overall summary & rating

Good

Updated 15 August 2017

Love Life Care is a domiciliary care agency which provides personal care to people living in their own homes in and around Ely. At the time of our inspection there were 12 people being supported with the regulated activity of personal care.

This inspection was carried out on the 14 and 23 July 2017 and was an announced inspection. This was the first inspection of this service since its registration at this location in April 2016.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The CQC is required by law to monitor the operation of the mental Capacity Act 2005 (MCA) and report on what we find. The registered manager had an understanding that people being supported by the service who lacked mental capacity to make day-to-day decisions should either have a lasting power of attorney (a legal document that lets a person appoint another person to help make decisions on their behalf) in place; or have an application to the Court of Protection. Staff were able to demonstrate an understanding of the MCA. 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.

Staff demonstrated their knowledge of how to report any incidents of suspected harm or poor care. Staff helped people in a way that supported their safety and people were looked after by staff in a kind manner. Staff assisted and encouraged people to make their own choices and live as independent a life as possible. People’s dignity was promoted by staff and staff treated people with respect.

People were looked after by enough, suitably qualified staff to support them with their individual needs. Staff enjoyed their work and understood their roles and responsibilities in meeting people’s care and support requirements. They were trained to provide effective and safe care.

Staff were supported to maintain their knowledge and skills by way of supervision, spot checks, and competency reviews. New staff were only employed to look after people once all pre-employment checks had been completed and were found to be satisfactory.

People’s care arrangements took account of people’s wishes and aspirations, including any likes and dislikes and how they wanted to be assisted. People’s care plans and risk assessments recorded their individual assessed needs and any assistance they required from staff. Risks to people were identified, and plans were put into place by staff to monitor and minimise these risks, as far as possible, without restricting people’s independence and choices.

Where this help was required, people were supported to drink and eat sufficient amounts of food and fluids. People’s choice about what they wished to eat and drink was encouraged and respected by staff. Staff monitored people’s health and well-being needs. They acted upon any issues identified and advice given by external health care professionals.

People were supported to take their medicines as prescribed and medicines were safely managed by staff who were trained, and whose competency had been assessed.

There was a process in place to manage any concerns and complaints received. Arrangements were in place to ensure the quality of the service provided for people was regularly monitored. People and staff were encouraged to share their views and feedback about the quality of the care and support provided. Actions were taken as a result to drive forward any improvements required.

Inspection areas

Safe

Good

Updated 15 August 2017

The service was safe.

Staff were aware of their duty to report suspicions of poor care and/or harm.

People’s support and care needs were met by a sufficient, suitably trained, number of staff.

Recruitment checks were in place to make sure that only staff that were suitable to provide care for people were recruited.

Where required, peoples medicines were administered and managed as prescribed.

Effective

Good

Updated 15 August 2017

The service was effective.

People were supported by staff who had the necessary skills and competencies to meet people’s individual needs.

Staff had received training and understood the principals of the Mental Capacity Act 2005.

Staff followed any advice given by health care professionals to make sure people were supported to maintain their well-being.

Where required, people had enough to eat and drink and their dietary needs were met.

Caring

Good

Updated 15 August 2017

The service was caring.

People's dignity, privacy and independence were respected.

People were involved and included in making decisions about what they wanted and liked to do and how they wished to be cared for.

Staff treated people in a kind and caring manner.

Responsive

Good

Updated 15 August 2017

The service was responsive.

People’s care plans were up to date and sufficiently detailed.

People were involved in the assessment of their health and social care needs. People’s needs were kept under review to ensure their planned care was appropriate to their needs. People received individualised support from staff who were responsive to their requirements.

There was a system in place to receive and manage people’s concerns and complaints.

Well-led

Good

Updated 15 August 2017

The service was well-led.

There was a registered manager in post.

People and their relatives were able to contact the service and provide feedback on the quality of the service provided.

Audits were carried out as part of the on-going quality monitoring process to identify and make the necessary improvements.