Sugarman Health Wellbeing - Liverpool provides personal care to people with a learning disability, autistic people and those who require support with their mental health within their own homes. The assessment was announced as we needed to ensure a member of the management team was available to support the inspection. This assessment was prompted by information we held about this service. As part of our assessment, we undertook on-site visits on 5, 15, 19 and 21 March 2024. We assessed 9 quality statements under the Safe, Effective, Caring, Responsive and Well-Led key questions. 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 the Care Quality Commission (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. We checked during the assessment whether the provider was following this guidance. There were systems and processes in place to keep people safe. Safeguarding referrals were made where required and accidents and incidents were recorded. There were enough staff support people and they were recruited to the service safely. However, some people told us they received inconsistent support from some staff members. Staff received a range of mandatory training both online and face to face. However, the face to face training for some staff was out of date. Risks to people were managed safely, although there were at times, some inconsistencies in people's care plans. People's needs were assessed and reviewed regularly and their rights were respected. People gave mixed feedback on people having Independence, choice and control over their care. Governance and quality monitoring at the service was effective.
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Sugarman Health and Wellbeing - Liverpool was rated Good across all five key questions at its first inspection under the new registration, conducted in November–December 2022. The service demonstrated a strong person-centred culture, robust governance, and consistently positive outcomes for the 20 people receiving personal care.
Strengths
· Open and transparent culture with strong leadership from the registered manager and nominated individual
· Comprehensive, person-centred care planning with full involvement of people, relatives and health professionals
· Staff matched carefully to people they support, fostering strong, consistent relationships
· Robust safeguarding systems with timely notification to CQC and local authorities
· Personalised support enabling people to achieve meaningful personal goals and ambitions
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
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: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
caring: Supporting people to express their views and be involved in making decisions about their care; Respecting and promoting people's privacy, dignity and independenceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
responsive: Supporting people to develop and maintain relationships to avoid social isolation; support to follow interests and to take part in activitiesGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Continuous learning and improving careGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood