14 December 2017
During a routine inspection
Livewell (Care & Support) Ltd provides care and support to 27 people living in 12 ‘supported living’ settings, so that they can live in their own home 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.
There was a registered manager in post who had recently registered with CQC. 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.
Livewell (Care & Support) Ltd met the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People told us they felt safe when supported by staff who had received training in recognising and reporting abuse. Risk assessments had been completed to guide and support staff to reduce risks and prevent people from harm. Recruitment checks were undertaken to ensure only suitable staff were employed in sufficient numbers to meet people’s assessed needs. People received their medicines by staff that had been trained to do this safely.
Staff received training and support to enable them to have the skills and knowledge for their role. Staff spoken with understood people's needs and supported them to follow their chosen lifestyles and achieve their goals. People’s human rights were respected by staff because staff applied the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards in their work practice. People were supported to maintain their healthcare needs.
People had developed positive relationships with staff that knew them well and promoted their independence and autonomy. People’s privacy and dignity was respected and promoted by the staff team and people were supported to maintain relationships with those who were important to them.
People were involved in making decisions about their support. Staff supported people to live the life they choose and participate in meaningful opportunities. People knew how to raise a complaint and had confidence any issues would be listened to and addressed. Staff were aware of the signs to look out for which may indicate people were unhappy.
People told us the service was managed well and in their best interests. People were involved in developing the service; which promoted an open and inclusive culture. Staff understood their roles and responsibilities and felt valued by the provider. The registered manager and provider understood their legal responsibilities and kept up to date with relevant changes. There were systems in place to monitor the quality of the service to enable the management team to drive improvement.