About the service Live N Care is a domiciliary care and supported living service. The domiciliary care service provides care and support to people living in their own homes. The supported living service comprised of 4 houses which provide communal facilities, including a lounge, kitchen and bathroom, each person having their own bedroom. The houses have a dedicated bedroom for staff to sleep on site as part of the 24 hour care support.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection 9 people were receiving support with personal care.
People’s experience of using this service and what we found
A supportive and positive culture facilitated the development of new relationships for people, and the nurturing of existing relationships with family and friends. There was a positive approach to managing risk, which proactively encouraged and supported people to experience new opportunities and develop skills have new experiences, including voluntary and paid work. People were supported to pursue a wide range of interests and attend social events and activities they enjoyed, which included holidays. This had a positive impact on people’s confidence and wellbeing.
People had autonomy and were fully involved in all decisions relating to their care. Staff supported people to maximise their independence, choice and control which was in part achieved by a commitment to proactively provide people with key information in a format they could understand. This included providing literature to enable people to make informed decisions about their care, including their lifestyle choices.
People’s lifestyles and choices were impacted by the COVID-19 pandemic, which affected their well-being. The provider recognised this and sought innovative ways to support people. They published books which included photographs of people enjoying holidays and day trips and visits with family, to remind people of happier times. Competitions and activities were developed for people to take part in within the supported living settings, which included games to be played out of doors in the garden.
People were encouraged to regularly discuss and plan their care and support, enabling them to maximise their potential and challenge themselves to achieve and lead a rewarding and fulfilling life. People’s support was tailored to meet their needs and aspirations, and their support was delivered to ensure flexibility, choice and continuity of care.
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.
Right Care:
People were at the heart of the service and were respected and valued as individual and were empowered to be partners in their care. Staff were fully committed in promoting people’s human rights, which included making available and sign posting people to sources of additional help and advice, which included external support groups and advocacy services.
People were supported by staff with the skills and experience to provide excellent quality care and support, which included training to enable them to provide tailored support to meet individual needs, and support them in their lifestyle choices.
Right Culture:
The ethos, values, attitude and behaviours of the management team and staff assured people received high quality and person centred care, which was achieved through an inclusive and empowering culture. This included people’s involvement in the recruitment of staff and the seeking of their views about the quality of the service they received.
Professionals and family members were exceptionally positive about the management and leadership of the service, and their commitment to go above and beyond their expectations in the delivery of good quality outcomes for people. This culture was evident throughout the service and staff team.
Staff highly praised the commitment and ethos of the management team in their leadership and approach in achieving good outcomes for people and enhancing people’s quality of life. Staff acknowledged the investment made by the provider in their ongoing development and training which enabled them to support people in line with recognised best practice and in line with people’s individual needs, preferences and aspirations.
Governance of the service was well-embedded, with a strong commitment to monitor the performance of the service to bring about continued improvement.
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 Outstanding (published 6 June 2019)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.