8 November 2023
During a routine inspection
Livability Wall Street is a residential care home providing regulated activity personal care to up to 10 people. The service provides support to adults with learning disabilities and physical disabilities. Downstairs accommodates 8 people and upstairs accommodates 2 people living in self-contained flats. At the time of our inspection there were 10 people using the service.
People’s experience of the service and what we found:
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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.
Right Support: People lived in a central location and were able to easily access chosen activities, leisure and transport links. People were able to make choices about their lives and how they wanted to spend their time. People received personalised care tailored around their needs and preferences. This enabled people to follow their own interests. People received their medicines as prescribed. Where appropriate people were supported to manage their own medicines to maximise their independence. People were supported to have maximum autonomy, choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: People received kind and compassionate care. Staff protected people’s privacy and dignity. Risks to people were managed and appropriately mitigated by a staff team who were dedicated to supporting people’s independence. Staff worked with other health and social care professionals to ensure people received the care and support they needed.
Right Culture: The management team had worked hard to develop a positive culture where people could speak freely. Staff spoke positively about the management of the service and the support they received. Staff were committed to providing people with opportunities to feel part of the community and to lead a quality life of their choosing. Audits and checks were completed regularly to monitor performance and identify any areas of possible improvement within the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 16 July 2019).
Why we inspected
The inspection was prompted in part due to concerns received about staffing, management and care for people that lived there. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective, caring, responsive and well-led sections of this full report.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Livability Wall Street on our website at www.cqc.org.uk.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.