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Archived: Live-in Care Solutions Ltd

Overall: Good read more about inspection ratings

Marklee, 6 Presland Way, Irthlingborough, Northamptonshire, NN9 5UL (01933) 653661

Provided and run by:
Live-in Care Solutions Limited

All Inspections

30 November & 1 December 2015.

During a routine inspection

This announced inspection took place on 30 November & 1 December 2015. This domiciliary care service is registered to provide personal care support to people living in their own homes. At the time of the inspection the service supported five people in 24 hour live in care packages in different counties.

There was a registered manager in post at the time of our inspection. 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.

People were actively involved in decision about their care and support needs, however there were no formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). People felt safe and there were clear lines of reporting safeguarding concerns to appropriate agencies and staff were knowledgeable about safeguarding adults.

People were supported by staff that had the necessary skills and abilities to meet their needs, however there wasn’t evidence of this training in staff files.

People told us that they felt safe in their own home. Staff understood the need to protect people from harm and abuse and knew what action they should take if they had any concerns. Staffing levels ensured that people received the support they required at the times they needed. People told us there were sufficient staff to meet their needs. The recruitment practice protected people from being cared for by staff that were unsuitable to work in their home.

Care records contained risk assessments to protect people from identified risks and help to keep them safe. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.

People were supported to take their medicines as prescribed. Records showed that medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. People participated in a range of activities both in their own home and in the community and received the support they needed to help them do this. People were able to choose where they spent their time and what they did.

Staff had good relationships with the people who they cared for. Complaints were appropriately investigated and action was taken to make improvements to the service when this was found to be necessary. The manager was accessible and made monthly visits to people using the service to monitor the quality of the service provided. Staff and people were confident that issues would be addressed and that any concerns they had would be listened to.

During a check to make sure that the improvements required had been made

The provider sent us evidence that the required staff training had been completed and records to show that staff had received training from health professionals regarding delegated personal care tasks.

We concluded that the provider had now met this standard.

7, 9, 15, 19 May 2014

During a routine inspection

We considered all the evidence we had gathered under the outcomes we had inspected to answer questions we always ask; is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well lead?

Below is a summary of what we found. The detailed evidence supporting our summary can be read in our full report.

Is the service safe?

The provider / registered manager had assessed the needs of each person when considering the planning of people's care. Staff demonstrated a detailed knowledge and understanding of the support people required. People received regular assessments of their needs in order to identify any areas of risk in delivering their care. People's risk assessments were regularly reviewed to ensure any changes to their health and welfare were identified promptly. The staff had knowledge of the importance of safeguarding people from abuse and had attended specific training on safeguarding adults. However the provider may wish to note that staff had completed this training several years ago with a previous employer. This meant the staff may have been at risk of not being fully kept up to date with current safeguarding reporting processes.

Is the service effective?

People using the service told us they had written their own care plans. One person told us they had yet to write up their own care plan, but they said they had fully agreed to the care plan the staff had written up in partnership with them. We saw that people's health and care needs were fully assessed. We also saw that people's mobility needs were assessed by specialists and mobility equipment was provided.

Is the service caring?

People were supported by kind and attentive staff. We saw that the staff showed patience and gave encouragement when supporting people. Comments from people using the service were very positive, for example, 'she does this job for the love of it' and 'the staff know me very well, they know all my little quirks and are very patient'. " I can't fault the care I receive from the service; it's the best I have ever used". People's preferences, interests, and diverse needs were carefully taken into account when matching staff to work with people. Care and support was provided in accordance with people's wishes.

Is the service responsive?

We saw that staff had responded appropriately to a range of medical needs and we saw that medical professionals such as the G.P, district nurse and occupational therapist were involved in people's care. One person being cared for in bed told us they were waiting on an occupational therapy assessment and this had delayed their ability to use their wheelchair. They confirmed the provider / registered manager was aware of the delay and was doing everything they could to speed up the process.

Is the service well-led?

People using the service and staff confirmed the provider / registered manager had a good understanding of the needs of people who used the service. We received the following comments from people using the service, 'I know the manager runs a caring business, she does it because she loves it and is passionate about providing good care'. 'I love the fact that I have wrote up my own care plan, it means I get the support that I need and not what others think I need',' The staff do a terrific job".

We saw that people's care plans and risk assessments were reviewed on a regular basis and that people received care in accordance with their assessed needs and wishes. There was an effective system in place to gain regular feedback from people using the service. There was a system in place to ensure that staff received regular supervision and support from the provider / registered manager. However we found that improvements were needed to record keeping in relation to the staff training that was provided.