This inspection took place on 13 October 2016. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to ensure that the registered manager would be present. The inspection was carried out by one inspector. When we last inspected this service on 2 January 2014 we found the service met all the regulations we looked at.Independent Lifestyle offers supported living services to people with learning disabilities and enduring mental health problems. The service can accommodate a maximum of 18 people. On the day of the inspection there were 18 people using the service across three supported living locations.
The service had a registered manager who was also the registered provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People and relatives told us they felt safe. Procedures and policies relating to safeguarding people from harm were in place and accessible to staff. All staff had completed training in safeguarding adults and demonstrated an understanding of types of abuse to look out for and how to raise safeguarding concerns.
Detailed current risk assessments were in place for people using the service. Risk assessments in place were reviewed and updated regularly. The risk assessments explained the signs to look for when assessing the situation and the least restrictive ways of mitigating the risk based on the individual needs of the person. People were supported to take positive risks.
Medicines were managed safely and effectively and there were regular medication audits in place. Staff had completed medication training and the service had a clear medication policy in place which was accessible to staff. Risk assessments specific to medicines were in place for people who were supported to take medicines.
We saw friendly, caring and supportive interactions between staff and people and staff knew the needs and preferences of the people using the service.
Care plans were person centred and reflected what was important to the person. Care needs were regularly reviewed and updated to meet the changing needs of people who use the service.
We saw evidence of a comprehensive staff induction and on-going training programme. Staff were also safely recruited with necessary pre-employment checks carried out. Staff had regular supervisions and annual appraisals.
All staff had received training on the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) and staff understood what to do if they had concerns as regards people's mental capacity.
People were supported to maintain good health and had access to healthcare services.
The service regularly requested feedback from people who use the service.
People were encouraged and supported to access the community and engage in a wide range of activities of their choosing.
The management team enabled an open culture that encouraged staff and people to discuss issues and ideas.
The provider had an effective and comprehensive quality monitoring system to ensure standards of service were maintained and improved.