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Inspection carried out on 22 March 2021

During an inspection looking at part of the service

About the service

Livingstone House is a residential care home providing personal care to five people with learning disabilities and associated behaviours which may challenge. The service can support up to six people in a six bedroom house, each with their own bathroom.

People’s experience of using this service and what we found

People told us that staff were kind and helped them to keep safe. Family members told us their relatives were safe. Staff understood their roles in safeguarding people from harm. Risks to people were assessed and emerging trends were identified. There was guidance for staff on how to manage these risks safely. There was a process to identify learning from accidents, incidents and safeguarding concerns. Staff followed good infection control practices and government guidance in relation to COVID-19.

The service applied the principles and values of: Right Support, Right Care, Right Culture and other best practice guidance. These ensured that people who used the service were able to live as full a life as possible and achieve the best possible outcomes that included control, choice and independence.

The provider used effective systems of quality assurance and governance which improved people's experience of care. Building safety was regularly audited and regular health and safety checks were completed by staff and by external professionals, who adhered to COVID-19 safety restrictions.

The registered manager openly engaged with external agencies. Family members and a health care professional were complementary about the management and culture of the home. Staff told us they felt supported by the registered manager who encouraged their development and was always available to them for advice and reassurance.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture.

Right support:

• People in Livingstone House were supported to access local shops and amenities, as well as countryside walks. Staff were observed to enable people to make day to day choices, including around food choices and activities. The provider engaged with local commissioning partnerships in order to strive for continuous improvement.

Right care:

• Staff understood people's specific care needs and preferences and supported people in a person-centred way. We saw that people's dignity was respected and any personal care required was done discretely and the person's dignity was not compromised. Staff enabled people to make choices about how they wished to communicate and how to be supported in any given activity. People had been supported to personalise their own rooms and communal areas.

Right culture:

• The leadership team and staff showed commitment and respect to those whom they supported. They spoke with passion and knowledge about their role, central to which was to empower those whom they supported to live their best life possible. Staff told us how the needs and views of those whom they supported were paramount and must be respected at all times. We observed that people moved around their home with confidence and placed trust in the staff team to support them safely and in the least restrictive way.

For more details, please see the full report which is on the CQC website at

This service was registered with us on 06 September 2019 and does not currently have a rating.

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding people from the risk of abuse. We found no