About the service Livability Horizons is a purpose-built residential care home providing personal care, and support to 11 people at the time of the inspection. Livability Horizons is situated in Poole, Dorset. The home can accommodate and support up to 13 people.
People’s experience of using this service and what we found
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 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.
Right Support
Livability Horizons was a safe place to be, feedback we received confirmed this and people were supported by staff who knew them well. Recruitment processes were in place but had not always been followed, the registered manager sought to rectify this during inspection. We have made a recommendation about governance processes to ensure they are robust, as they had not identified this shortfall. Risks people faced in their lives were identified, assessed and steps put in place to mitigate them. This meant people were supported to lead the fullest lives possible in a safe way. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care
People received their medicines as prescribed and there were robust, safe processes in place. Detailed assessments and instructions meant people were protected from avoidable harm. Staff knew how to recognise and raise concerns, confident they would be dealt with promptly. Staff had received training in keeping people safe. Fire safety and equipment checks were in place to ensure the environment was safe. Infection control procedures were in place.
Right Culture
We observed many kind interactions between people and staff, they were both natural and encouraging. The home actively sought feedback on the service it provided and used the information to drive improvement and learn lessons. The registered manager understood their regulatory responsibilities and had made all necessary notifications and referrals as required by law. Staff felt appreciated and were extremely proud to work at the home. We received positive feedback about the management of the home. The home worked well with external professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 15 June 2018).
Why we inspected
We had not inspected and visited this service since 2018. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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 remained good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.