15 March 2022
During an inspection looking at part of the service
About the service
Livability York House Shrewsbury, is registered as both a care home and a supported living service providing personal care to eight people at the time of the inspection. The service currently supports five people in the care home and three people in the community. We reviewed both aspects of the service as part of this inspection.
People’s experience of using this service and what we found
Right Support
People received a service which supported them with their faith. People maintained an active relationship with their church and were involved in activities in the community.
Staff completed care records, but we found some gaps in people’s documentation and areas where action was required. For example, there were gaps in fluid records which meant we could not be sure if people were getting the right amount of fluid for their individual needs.
The building was being refurbished but more work was required to ensure all areas could be effectively cleaned.
People received their medicine from trained staff and action was taken to ensure there was clearer instruction for medicine given on an ‘as required’ basis.
The provider produced action plans outlining improvements they were going to make to the service, but more detail was required for the progress to be successfully monitored.
Right Care
Staff completed incident reports when something happened, but they did not always refer to the incident in the daily records of everyone involved. People impacted by the behaviour of others needed to have their wellbeing monitored.
New staff and agency workers were given an induction and time to read people’s care plans to ensure they understood each person’s individual needs.
The manager of the service worked with people and the staff team in a kind and considered way. People responded well to this approach.
Right culture
People were supported by a growing team of permanent staff. Agency staff were well supported in the service and, all staff working in the community received increased monitoring and support throughout the day.
The provider had not always ensured information was handed over in a timely manner and care plans were updated when information was reviewed.
Families told us there had been reduced communication due to changes within the staff team. The provider was addressing this and actions taken included newsletters showing activities people had been involved in and plans for the future.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last last inspection.
The last rating for the service was good (published 15 August 2018). At this inspection we found the provider was in breach of regulation.
You can see what action we have asked the provider to take at the end of the full report.
Why we inspected
This inspection was prompted in part due to concerns about agency staff use. Also, in response to a serious incident involving an agency worker. The incident is subject to criminal investigation and as a result we did not examine the circumstances of the incident. The information CQC received about the incident indicated concerns about the management of agency staff. This inspection examined those risks and the subsequent actions taken by the provider.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.