Living Ambitions Limited - 89 Grosvenor Avenue

Updated 6 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Living Ambitions Limited - 89 Grosvenor Avenue is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Living Ambitions Limited - 89 Grosvenor Avenue is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 14 October and ended on 20 October 2022. We visited the service on both dates.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with two people, two relatives, two staff, the acting manager, a registered manager of a separate service who was supporting the acting manager and an area manager. We reviewed four people’s care plans and four staff files. We checked medicines storage and medicines records. We also reviewed the service’s infection control, health and safety and quality assurance practices.

Updated 6 December 2022

About the service

Living Ambitions Limited - 89 Grosvenor Avenue is a care home registered to provide accommodation and personal care. The service provides care and support for up to 5 adults with a learning disability in one adapted building. At the time of this inspection 4 people were living at the service.

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

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

Right Support

People were supported to lead fulfilling and meaningful lives. People were offered a wide range of activities and chose the ones they wanted to participate in. Staff ensured that people’s health needs were met by working in partnership with healthcare professionals. People received their medicines appropriately and the medicines prescribed to people were regularly reviewed.

Right Care

Staff were caring and compassionate. People and staff had known each other for many years. This meant that staff had an enhanced understanding of people’s non-verbal communication and the ability to manage people’s behavioural support needs effectively. Staff were trained and supervised to provide care and support safely and responsively.

Right Culture

The service had a person centre culture and focused on people’s individual needs, aspirations and choices. There was an open culture and relatives were welcome. The provider gathered feedback from people and their relatives and used their responses to plan improvements. 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.

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 Good (published 20 October 2017).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.