- Homecare service
Select Lifestyles Limited
Report from 25 September 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 3 October to 17 October 2024. Select Lifestyles Limited is a supported living service providing personal care to people with a learning disability and autistic people living in their own homes. People are supported over 17 different properties with some people living in self-contained flats and others living in shared accommodation. Not everyone who used the service received personal care. 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. At the time of the inspection there were 36 people receiving personal care. We carried out our on-site assessment, visiting people’s homes on the 3 October, 9 October and 10 October 2024. During the 3 October to 17 October 2024, off site assessment activity was completed, this included reviewing care plans, risk assessments and the provider’s systems and processes. At this assessment we looked at all quality statements to check for improvement and found the provider no longer in breach of good governance, however, not enough improvement was made around the safe care and treatment of people, the provider was still in breach of this regulation. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We have identified breaches in safe care and treatment, safeguarding service users from abuse and improper treatment and staffing.
People's experience of this service
While the people we spoke to expressed that they were generally happy with their care, our assessment found care/elements of care did not meet the expected standards. We received positive comments from people who lived at the service, relatives, staff and community health and social care professionals. One relative told us, “The staff are very caring and with all what she’s been through in other homes, this one is great.” One person told us they, “Like living here”. Relatives felt that their relative was safe and received the correct standard of care. One relative told us, “Yes [Person] is safe there”. Some relatives shared with us that they felt communication could be better, one relative told us, “Communication could be better with some areas, such as appointments”. We observed people living in various properties, all people were engaged in their support and showed to know their staff well. We asked relatives would they recommend Select Lifestyles as a good support provider, all relatives spoken with told us they would recommend. One relative told us, “I highly rate them – I’d recommend them to others if they needed, you’d be well looked after and informed of anything that happened”. However, some of the feedback received did require the service to improve, for example, one relative told us, ‘Occasionally communication can sometimes have a language barrier with some staff. Communication by some staff can be an issue, for example a staff member told me an Ipad had been broken and needed to be replaced by me so I bought a second hand one but when I took it in the manager told me that he had broken a service Ipad not his own so that was a waste’.