Background to this inspection
Updated
21 September 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by an inspector, a pharmacist inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Livability Marion House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Livability Marion House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is also a domiciliary care agency. It provides personal care to people living in their own homes.
This service is also registered to provide care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. However, it was not providing supported living at the time of the inspection. People’s care and housing for supported living are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service a day’s notice of the inspection. This was because people are often out and we wanted to be sure there would be people at home to speak with us, and also that the registered manager, who also manages another service locally, would be available.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection, although they did complete one during the inspection, which we took account of in reaching our judgments. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
Updated
21 September 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Livability Marion House is a care home accommodating five people at the time of the inspection and providing care at home to a further two people. The service can accommodate up to eight people.
People’s experience of using this service and what we found
Right Support
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.
People's support promoted their choices and their independence. Staff focused on what people could do and encouraged them to celebrate their achievements. They enabled people to do things for themselves and did not provide more support than people needed, which would compromise their independence. Support planning was based on people's hopes and aspirations. People were actively involved in planning their support and maintaining their own health and wellbeing, and staff supported them to make their own decisions about medicines wherever possible. People made choices for themselves about their day to day lives, as far as they were able.
Right Care
People and their relatives were pleased with their care and support. Staff were kind and respectful, upholding people’s right to privacy and dignity. Care and support were tailored to people’s individual needs. Staff knew people well and understood the support they needed, including any assistance they needed to communicate. People and their relatives were involved in designing and reviewing care and support plans. The registered manager understood the importance of independent advocacy to uphold people’s rights and preferences and knew how to access advocacy services.
Right Culture:
The registered manager fostered a person-centred culture, where staff treated people as individuals, upholding their rights and encouraging and enabling them to live life as they wanted. People and staff liked the registered manager, finding her approachable and feeling confident that the service was well run. The registered manager had invested time and effort in developing staff skills and confidence, delegating tasks with support so staff felt more able to manage a range of situations in the registered manager’s absence. This meant people’s needs were met more promptly and effectively; it had also boosted staff morale.
People had opportunities to get updates and give their views about the service and any developments they would like to see. These included regular house meetings, monthly key worker meetings, support plan reviews and ad hoc conversations with the management team, as well as involvement in quality assurance audits.
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 30 August 2018).
Why we inspected
We undertook this inspection as part of a random selection of services rated good and outstanding.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Recommendations
We have made a recommendation about the management of medicines.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.