Date of assessment 02 July 2024 to 11 July 2024. St Giles is a supported living complex in a rural setting consisting of 40 bungalows, with a central building housing offices and shared living areas. Livability provides personal care support at St Giles. The service predominantly supports people with a learning disability or autistic people. They are also registered to support people with mental health needs, older people and people with physical and sensory impairments. At the time of our inspection there were 3 people using the service. Some of the people at St Giles received personal care from other organisations. In this report we only inspected the personal care provided by Livability. 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. Not everyone who lived at St Giles received support with their personal care from Livability, for example some people received support with domestic tasks only. We did not look at the support Livability provided for these people. We reviewed 14 quality statements during this assessment under the safe, effective, caring, responsive and well-led key questions. 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.
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Livability St Giles received a Good rating across all five key questions at its first inspection in October 2022, with staff delivering person-centred, compassionate care that promoted independence and positive outcomes for people with learning disabilities and autism. One minor gap was identified in care plans not fully capturing longer-term aspirations, but this was already being addressed by the registered manager.
Concerns (1)
minorCare planning: “There was scope to improve how care plans detailed people's longer-term aspirations, to reflect the positive work being done by staff.”
Strengths
· Staff understood how to protect people from abuse and had training on how to recognise and report it, with a dedicated safeguarding app for logging concerns.
· Incidents were managed well, lessons were shared throughout the organisation, and staff received improved training following a medicine error.
· Sufficient, consistently recruited staff including robust checks for agency staff; good retention meant people received consistent care.
· Medicines were administered safely, with STOMP principles applied and annual GP reviews in place.
· Newly revised care plans were personalised, holistic, and strengths-based, reflecting people's needs and goals.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control; Supporting people to develop and maintain relationships and take part in activitiesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles; Continuous learning and improving careGood
well-led: Engaging and involving people and staff; Working in partnership with othersGood