Livability Hallgate

Updated 14 December 2023

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.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

This service provides care and support to people living in a 'supported living' setting, so that they can live as independently as possible. People’s care and housing 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. The registered manager oversaw this service and was the registered manager for a number of similar services. A service delivery lead provided further overview of the service and also supported another service close by. Day to day management of the Livability Hallgate service was undertaken by the team leader.

Notice of inspection

The inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We contacted the local authority commissioners and safeguarding adults team for any information they held about the service. We used all this information to plan our inspection.

During the inspection

People using the service were not able to speak in detail about the care they received. People we did speak with indicated they were happy at the service. We observed people were well cared for and were happy and relaxed in the presence of staff. We spoke with 5 members of staff including the registered manager, service delivery lead, team leader and 2 support workers. Following the inspection, we emailed a care manager involved with people living at the service and spoke on the telephone with 2 relatives.

Updated 14 December 2023

About the service

Livability Hallgate is a supported living service providing personal care to up to 4 people. The service provides support to people living with a learning disability and/or physical disability. At the time of our inspection there were 4 people using the service.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right support.

People were supported and encouraged to maintain their independence, as far as possible. Staff had a good understanding of people’s likes and dislikes and encouraged people to participate in their care. People were encouraged to set simple goals and participate in planning activities and events.

Right care.

People were well cared for and were treated with dignity and respect. Staff spoke knowledgably of the people they supported and spoke fondly about them as individuals. People had good relationships with staff and looked happy and relaxed when being supported. They indicated they enjoyed living at the service and that staffed helped them when they needed support.

Right Culture.

People were supported to be as active and independent as possible. They were encouraged to participate in activities both within the service and outside in the local community. Two people had recently returned from a holiday in Scotland. People were supported to maintain contact with family and friends. Staff supported people to be effective members of the community.

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. We found some minor issues, where a best interests decision had not been fully completed for safety equipment installed to prevent 1 person from falling. We have made a recommendation about this.

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 July 2018).

Why we inspected

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Livability Hallgate on our website at www.cqc.org.uk.

Recommendations

We have recommended the provider review their best interests processes to ensure they comply fully with the Mental Capacity Act (MCA).

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.