About the service iCare Living Ltd are registered to deliver personal care. They provide Domiciliary care and Supported living services to older and young people living in their own homes. People who used the service may have a range of support needs related to old age and/or dementia, misuse of drugs and/or alcohol, an eating disorder, physical disability, sensory impairment, learning disabilities or autistic spectrum disorder or mental health issues. At the time of our inspection six people were using the supported living service and were being supported in their own homes.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Management had taken onboard the concerns raised in an anonymous complaint and used the information to make positive changes to the service. Staff were on board with the changes being introduced and felt they were being listened to by management.
People were supported by a group of staff who had received training in how to recognise signs of abuse. Where concerns of a safeguarding nature arose, these concerns were reported and acted on appropriately.
Staff were aware of the risks to the people they supported and the actions they should take to keep people safe from harm. Staff were provided with the most up to date information regarding people’s care needs and shared information with each other in order to provide safe and effective care.
Staff felt well trained and new training opportunities were provided to them. Staff received regular supervision and were provided with the opportunity to raise any concerns they may have in a variety of ways.
A variety of audits were in place to provide management with oversight of the service. Individual lessons were learnt when things went wrong and action was taken where necessary.
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.
People were supported to maintain their independence and access a variety of healthcare services to meet their needs.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff presented as caring individuals who were respectful of the people they supported. Staff obtained people’s consent prior to supporting them and were mindful of maintaining people’s privacy and dignity when offering support.
People were supported to maintain relationships that were important to them and to take part in activities that were of interest to them. People were supported by a group of staff who knew them well. Care records reflected how people wished to be supported and what was important to them.
Where complaints had been received, they were recorded and acted on appropriately. People and staff were confident they would be listened to, should they raise concerns.
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 8 November 2016).
Why we inspected
The inspection was prompted in part due to concerns received about the lack of manager in post, staff supervisions and training not taking place, staff not being supported and reviews of care not taking place. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the effective and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for iCare Living Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.