Background to this inspection
Updated
24 December 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 7, 10 and 11 October 2016 and was announced so that the staff we needed to speak with would be available. The inspection was carried out by one inspector.
During the inspection we spoke with five people that used the service, five relatives and six shared lives carers who supported people in their own homes. We also spoke with five shared lives staff and the registered manager, in addition to a senior manager.
We looked at three people’s support plans in full and sampled a number of other records relating to people’s care and support such as reviews, risk management plans and tenancy agreements. We looked at two staff supervision records, one carer’s recruitment file and various other records pertaining to the management of the service.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the provider including, for example, statutory notifications that they had sent us. A statutory notification is information about important events which the provider is required to send us by law.
Updated
24 December 2016
The inspection was announced on 7, 10 and 11 October 2016. We provided the registered manager with short notice of the inspection. This was to make sure staff we needed to speak with were available.
The Shared Lives Service recruits people to become paid carers to support adults with a learning disability. The service had also recently recruited carers to start providing a service for older people diagnosed with dementia. People stay with carers and receive their support in their family home. Some people lived with carers and other people stayed with carers for short-term respite.
At the time of the inspection the service employed 56 carers and was supporting 78 people on a long term or short term basis. Shared Lives staff supported people and their carers to ensure people received appropriate care, and carers had access to support whenever they needed it.
The service had a registered manager. 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.
A shared lives staff member described the scheme to us as, “The whole idea is to empower people to be as independent as possible with support” and a carer said, “It’s a family and they get one to one support”. One person using the service told us, “I am happy” and another person said, “I am very happy [the carer] is very kind and it's good”. Records and feedback we received showed that the schemes philosophy, ethos and values were ensuring people led meaningful happy lives.
People were safeguarded because staff and carers understood what they needed to do if they were concerned or worried about someone and a rigorous recruitment procedure ensured carers were suitable to provide support to vulnerable people.
Carers and staff were supported and trained to make sure they had the right knowledge and skills. People told us they liked their carer and were supported to express their view and make their own decisions. Feedback from staff and carers showed people were encouraged to try new experiences and develop their skills.
People’s needs were assessed before they began using the service and detailed care plans provided carer’s with guidance on how the person wanted or needed to be supported.
There were effective governance systems in place to make sure the service people received was safe, effective, caring and responsive.