YourLife (Littlehampton) was rated Good across all five key questions at its announced inspection on 15 March 2016, demonstrating safe, person-centred care with strong staff training and governance systems. Minor shortcomings were noted in pre-employment DBS checks and incomplete MCA training for some staff, though neither resulted in a rating below Good.
Concerns (3)
moderate
Governance
: “The audits were comprehensive but had not resulted in action to ensure staff recruitment procedures were fully safe.”
moderateStaffing levels: “Two of these staff had started work before an Adult First check or a full DBS check was obtained. Three of the staff had also started work before two references were obtained.”
minorStaff training: “Not all staff had received training in the MCA but this was included in the forthcoming staff training plan.”
Strengths
· Staff were trained in adult safeguarding procedures and knew what to do if they suspected abuse
· People received their medicines safely with weekly audits of medicines procedures carried out
· Staff were well trained with 13 of 18 care staff qualified at NVQ level 2 or above
· Staff received regular supervision and appraisal, with a supportive learning culture
· Care plans were highly personalised and comprehensive, reflecting individual preferences
Quality-Statement breakdown (19)
safe: SafeguardingGood
safe: Risk assessment and managementGood
safe: StaffingGood
safe: RecruitmentGood
safe: Medicines managementGood
effective: Staff training and inductionGood
effective: Supervision and appraisalGood
effective: Consent and Mental Capacity ActGood
effective: Nutrition and hydrationGood
effective: Healthcare needs monitoringGood
caring: Kindness and respectGood
caring: Person-centred care and independenceGood
caring: Privacy and dignityGood
responsive: Needs assessment and care planningGood
YourLife (Littlehampton) is rated Good overall with an Outstanding rating for Responsive, reflecting an exceptionally person-centred culture, rich activity programme and consistent, compassionate care for four people in an assisted living setting. No regulatory breaches or failure themes were identified at this inspection.
Strengths
· Exceptionally personalised, person-centred care with staff going above and beyond to meet individual interests and preferences
· Rich programme of activities and community engagement fostering a sense of belonging and purpose
· Consistent staffing with no missed visits reported by people using the service
· Strong registered manager with clear vision, open-door culture, and effective quality assurance systems
· Effective multi-agency working with GPs, pharmacists, community nurses, occupational therapists and local authority
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Adapting service, design, decoration to meet people's needsGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlOutstanding
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Planning and promoting person-centred, high-quality care and provider's duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood