We inspected the service on 20 October 2015. The inspection was unannounced. Levina House offers accommodation for to up to 6 people who have a learning disability. On the day of our inspection six people were using the service.
The service had a registered manager in place at the time of our inspection. 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 were kept safe in the service and staff knew how to protect people from harm. Staff knew how to respond to incidents and how to escalate concerns. This meant there were systems in place to protect people from the risk of abuse.
Medicines were managed safely and people received their medicines as prescribed. Staffing levels were matched to the needs of people who used the service to ensure they received care and support when they needed it.
People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support.
People were supported to make decisions and where there was a lack of capacity to make certain decisions; people were protected under the Mental Capacity Act 2005.
People were supported to maintain their nutrition and staff were monitoring and responding to people’s health conditions. Staff respected people’s privacy and dignity and people were supported with their independence.
People were involved in planning their care and support. They were supported to have a social life and to go out into the community and go on holidays.
Although people were involved in giving their views on how the service was run, their views and requests were not always listened to or acted upon. The systems in place to monitor the quality of the service provided was not fully effective.