About the service Lifeways Community Care Limited (Nottingham) is a domiciliary care service which provides personal care and support to adults in their own homes. The support people received ranged from short visits to 24hour care depending on people's needs. At the time of our inspection there were 49 people using the service.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Right Support
People were protected from the risk of abuse and neglect and risks to people’s health were assessed to reduce risks. There were enough staff to provide safe care to people in their homes.
Medicines were safely administered. Staff followed infection control policies and procedures, including current guidance for COVID-19 to reduce the risk of the spread of infection. Systems were in place to ensure that accidents and incidents were recorded and acted upon.
People were supported to have maximum 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 had their needs assessed prior to receiving personal care. Staff were effectively inducted into the service and trained for their role. Staff received supervision to develop their roles. Where needed people were supported with their meals and to maintain a balanced diet. Referrals were made to other health and social care professionals as and when required.
Right Culture
People were listened to and were able to make decisions about their care. Staff were kind, caring and respectful. Care was provided in a dignified and respectful way.
People received person-centred care and were able to make choices about the way they wanted their care to be provided. A complaints policy and system were in place so that any complaints could be dealt with appropriately. The registered manager was reiterating the complaint process to people and staff to ensure all complaints would be addressed and followed up.
People were involved in the way the service was run, however relatives felt communication from the service could be improved. The registered manager had a good understanding of the regulatory requirements of their role. Systems were in place to monitor and check on all areas of 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 the service at the previous premises was Good, published on 01 September 2017.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.