County Care Independent Living Ltd (Lincolnshire Office) was rated Good across all five key questions at its March 2020 inspection, maintaining its previous Good rating from October 2018. The service demonstrated strong person-centred practice, effective governance and a caring, inclusive culture led by a well-regarded registered manager.
Strengths
· Sufficient staffing levels with consistent staff and punctual visits; relatives confirmed timely attendance and advance notice of any delays.
· Person-centred care plans containing detailed information on likes, dislikes, communication needs and risk assessments, regularly reviewed.
· Strong safeguarding culture: staff trained in abuse types, confident to escalate concerns internally and to external agencies.
· Effective induction, shadow shifts, Care Certificate completion and ongoing training kept staff skills current.
· Registered manager fostered open, inclusive culture with regular supervisions, team meetings, staff newsletters and welfare monitoring.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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 and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
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 candour; managers and staff being clear about their rolesGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; working in partnership with othersGood
County Care Independent Living Ltd received a Good rating across all five key questions at its first CQC inspection in June 2017. The service demonstrated safe, personalised care for two younger adults, supported by effective governance, strong staff training, and positive relationships between staff and the people they supported.
Strengths
· Staff knew how to protect people from abuse and risks were identified with care planned to keep people safe
· Sufficient staffing levels with appropriate travel times built into rosters; relatives confirmed staff were always on time
· New staff completed induction including the Care Certificate before being offered permanent roles
· Regular two-monthly supervisions provided and staff felt supported and able to contact the registered manager at any time
· Strong caring relationships between staff and people using the service, with dignity and independence promoted