LAM Care 24 - Derby

Updated 17 May 2023

Inspection team

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency and supported living service. It provides personal care to people living in their own houses and flats.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post. They were also the registered provider.

Notice of inspection

We gave the service a short amount of notice for the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.

Inspection activity started on 24 April 2023 and ended on 28 April 2023. We visited the location’s office on 24 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with 1 person and 4 relatives of people that used the service. We spoke with 1 social care professional who was involved in the care of 2 people who used the service. We spoke with 5 staff including the registered manager, the care support manager and 3 care and support workers.

We reviewed the relevant parts of 3 people’s care plans and 2 people’s medicines records. We looked at audits, policies, training records and 3 staff recruitment files.

Updated 17 May 2023

About the service

LAM Care 24 - Derby is a domiciliary care agency and supported living service. The service provides personal care to older and younger adults who may be living with a range of needs including dementia, mental health, learning disabilities, autism, and physical and sensory needs. At the time of our inspection there were 18 people using the domiciliary care service. There were 5 people who used the supported living service in 2 separate houses.

Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of safe and well-led the service was able to demonstrate how they were meeting underpinning principles of “Right Support, Right Care, Right Culture.

Right support:

Care staff had the skills and knowledge to safely meet people’s needs. Processes were followed to help the provider recruit staff who were suitable to work in care. People and their relatives were involved and engaged in their care.

Right care:

People received care that promoted their safety and risks were reduced. Medicines were administered in line with good practice. Infection prevention and control measures were followed to help reduce the risks from infection.

Right culture:

Care staff provided person-centred care and people experienced good outcomes from their care. The service aimed to continually improve and learn lessons. People and staffs’ views were valued and used to develop the service. Audits and checks on the quality and safety of services were completed regularly.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 1 May 2021).

At our last inspection we found a breach of the regulation in relation to the systems used to assess and monitor the quality and safety of services. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was now meeting this regulation.

Why we inspected

We carried out an announced comprehensive inspection of this service on 19,20,21 October and 16 November 2020. A breach of legal requirements was found in relation to the systems used to assess and monitor the quality and safety of services.

We undertook this focused inspection to check if the provider had made improvements and if they were now meeting the legal requirements. This report only covers our findings in relation to the key questions safe and well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for LAM Care 24 - Derby on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.