CL Lifestyles Night Care Somerset

Updated 13 April 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector

Service and service type:

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to adults, including people living with dementia and those requiring care at the end of their lives.

Since the last inspection the support provided by the agency has changed and it now only provides waking night care between the hours of 10pm and 7am.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 72 hours’ notice of the inspection visit because we needed to be sure the registered manager would be available. It also gave the registered manager time to arrange for us to speak to staff and people who used the service.

Inspection site visit activity started on 26 March 2019 and ended on 29 March 2019. We visited the office location on both dates to meet with staff; and to review care records and policies and procedures.

What we did:

Before the inspection we looked at notifications we had received about the service. A notification is the means by which providers tell us important information that affects the running of the service and the care people receive.

The provider had completed a Provider Information Return (PIR) prior to our inspection. The PIR is information providers are required to send us about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We spoke with three people who used the service and three relatives on the phone. We also spoke with six members of staff.

We looked at a selection of records which included;

• Four care and support plans

• Records of staff training

• Records of staff meetings

• Three staff recruitment files

• Records of quality monitoring

Updated 13 April 2019

About the service:

CL Lifestyles Night Care Support Somerset is a domiciliary care agency which provides overnight care to people in their own homes. The majority of the support provided is on a short-term basis to support people at the end of their lives and people leaving hospital. At the time of the inspection the agency was supporting 6 people on a long-term basis and additional people each night under the ‘HomeFirst’ scheme and people requiring end of life care. The number of people being supported changed on a daily basis in response to local need.

People’s experience of using this service:

Without exception, the feedback we received from people was very positive. Comments included; “I am very appreciative of this super service. Just can't fault it,” “It couldn't possibly be any better” and “Professional and respectful would describe them. I have complete confidence in them. It has been a huge help.”

People were supported by an agency which had excellent organisational and quality monitoring systems in place. This meant that the service responded to need at short notice and was able to provide high quality care and support.

People received their care safely because staff worked with other professionals to make sure risks to people were minimised. Staff were trained in how to recognise and report abuse which helped to keep people safe.

People were supported by staff who were skilled and experienced which meant they received care that was effective and responsive to the changing needs. Staff liaised with other professionals to make sure people’s health and well-being was monitored and they received the support they needed to meet their needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff promoted people’s independence to help them to regain confidence and maintain their safety.

People could be confident they would receive care and support which met their needs and was provided by staff who were kind and caring. People who received long-term support from the agency told us they received care from a small team of staff who they had been able to form trusting relationships with.

People received compassionate and professional care at the end of their lives. Staff respected people’s wishes and their cultural and religious beliefs. People were fully involved in planning and reviewing their care and felt staff understood and would carry out their wishes.

Rating at last inspection: Good (Published 12/10/2016)

Why we inspected: This was a scheduled/planned inspection based on previous rating;

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk