Updated 22 December 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience carried out telephone calls to people following our onsite inspection.
Service and service type
Livability Wall Street is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Livability Wall Street is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service also provides care and support to people living in three ‘supported living’ settings, so that they can live as independently as possible. In these settings, people’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. We did not look at the ‘supported living’ settings as part of this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We also requested feedback from Healthwatch to obtain their views of the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with 3 people who lived at the home about their experience of the care provided and 7 relatives. We spent time observing interactions between people and staff to help us understand the experience of people who could not speak with us.
We spoke with 9 members of staff including the registered manager, peripatetic manager, senior care staff and care staff.
We reviewed a range of records which related to people’s care and the management of the service. This included 2 people’s care records, which included risk assessments and 2 people’s medication files. We also looked at other documents such as, training, quality assurance records, policies, and procedures and 2 staff files in relation to recruitment were reviewed. The registered manager sent us documentation we asked for.