Archived: Livability Green Lane

Updated 4 March 2018

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 3 October 2017 and was unannounced.

The inspection was undertaken by one inspector.

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 the information available to us about the service such as information from the local authority, information received about the service and notifications. A notification is information about important events which the provider is required to send us. We found that no recent concerns had been raised.

We used the Short Observation Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

During the inspection we carried out observations of the interactions between staff and people. We also spoke with three members of care staff and the registered manager.

We reviewed the care records and risk assessments of two people who lived at the service, and also checked medicines administration records to ensure these were reflective of people’s current needs. We also looked at two staff records and the training records for all the staff employed at the service to ensure that staff training was up to date. We also reviewed additional information on how the quality of the service was monitored and managed to drive future improvement.

Updated 4 March 2018

Green Lane provides care and support for up to five people with a learning disability. At the time of our inspection there were five people living at the service.

At the last inspection in August 2015, the service was rated Good.

At this inspection we found the service remained Good.

The service has 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.

There were safeguarding systems in place. Staff understood their responsibilities with regards to safeguarding people and were confident in reporting any concerns. Referrals had been made to the local authority when identified as required, however outcomes and actions were not consistently recorded.

People had risk assessments in place that gave guidance to staff on how individual risks could be minimised. Incidents and accidents that occurred at the service were reported promptly to senior members of staff and recorded, however it was not clear within records that the actions identified to prevent reoccurrence had been completed.

There were sufficient numbers of staff on duty to meet people's needs. Effective recruitment processes were in place however the records to demonstrate that these had been followed were not consistently maintained.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people living at the service. All medicines were stored appropriately and audits completed.

Staff were well trained and completed an effective induction programme when they commenced work at the service. Staff were supported in their roles and received regular supervision and appraisals.

Staff treated people with kindness and respect. Privacy and dignity was promoted throughout care and support and people’s consent was gained.

Care plans took account of people’s individual needs, preferences and choices and had been reviewed regularly.

People were supported to participate in a range of activities and follow their interests.

The service was led by a registered manager who was visible and approachable.

Quality monitoring systems and processes were used effectively to drive improvements in the service and identify where action needed to be taken.

Further information is in the detailed findings below.