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

Inspection Summary


Overall summary & rating

Outstanding

Updated 4 May 2019

About the service: Shared Lives Service is a shared lives service that recruits, trains and

supports self-employed shared lives carers (carers) who offer accommodation and support arrangements for vulnerable adults within their own family homes in the community. The service is registered to support people with a variety of needs including people with learning disabilities.

CQC only inspects the service being received by people provided with 'personal care'. This includes help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At this inspection there were 369 people using the service and in receipt of a regulated activity.

People’s experience of using this service: We saw excellent examples of how people were supported to remain safe at times when they were at significant risk. Through robust safeguarding training, staff and carers were able to keep people safe at times when their lives were in crisis. Staff and carers were proactive and supported people to take positive risks, ensuring they had maximum choice and control of their lives.

The provider‘s robust recruitment processes for staff and carers, along with the matching process, had exceptionally positive outcomes for people. Medicines were managed safely and people were supported to be as independent as possible with their medicines. There was an open and transparent culture in relation to accidents and incidents and they were used as opportunities to learn and lessen risks.

People’s needs were met through robust assessments and support planning. We saw outstanding examples of when the service had worked with other healthcare professionals to achieve positive outcomes for people and to improve their quality of life. Staff and carers had excellent knowledge and skills and the training made available to them ensured people’s needs were extremely well met.

We saw outstanding examples of when people had been supported to maintain a healthy and balanced diet and how this had significantly improved their lives. People with complex health needs received care and support that was positive and consistent and which improved their quality of life. The provider’s policies and systems ensured people were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible.

People unanimously told us carers and staff were exceptionally compassionate and kind. Staff and carers expressed commitment to ensuring people received high-quality care. We saw excellent examples of how carers ensured people felt part of their family. Carers and staff knew people exceptionally well and supported them to maintain relationships with people that mattered to them. For those people with protected characteristics as defined in the Equality Act, we saw excellent examples of how the service, staff and carers were proactive in how they supported them. People were encouraged to learn new skills to enhance their independence and were treated with the utmost dignity and respect.

People received care and support that was evidently person-centred. We received overwhelming feedback of the positive impact this had on people and how they had changed people’s lives. We saw excellent examples of how the care and support people received enriched their lives through meaningful activities. The service was proactive in its response to concerns or complaints and people knew how to feedback their experiences.

The registered manager planned and promoted holistic, person-centred, high-quality care resulting in excellent outcomes for people. The values and culture embedded in the service ensured people were at the heart of the care and support they received. Carers and staff told us they received excellent support from management and staff told us they were extremely proud to work for the service. There was a very open and transparent culture and people were empowered to voice their opinions

Inspection areas

Safe

Outstanding

Updated 4 May 2019

The service improved to outstanding

Details are in our safe findings below.

Effective

Outstanding

Updated 4 May 2019

The service remained outstanding

Details are in our effective findings below.

Caring

Outstanding

Updated 4 May 2019

The service remained outstanding

Details are in our caring findings below.

Responsive

Outstanding

Updated 4 May 2019

The service improved to outstanding

Details are in our responsive findings below.

Well-led

Outstanding

Updated 4 May 2019

The service improved to outstanding

Details are in our well-led findings below.