Livingstone Health Care Services

People's experience of the service and what we found:

Right Support 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. People were encouraged to make choices and decisions in relation to the care they received.

Care plans and risk assessments were regularly reviewed and involved relatives as appropriate. People's medicines were managed safely and they were protected from the risks associated with the spread of infection.

Right Care People's needs were assessed before they began to use the service to ensure the provider could meet those needs. People had personalised care and support plans which included physical and mental health needs. Care plans documented people's communication, cultural and spiritual needs. Where appropriate, people were supported with activities of their choice.

Relatives confirmed they were included, where appropriate, in decision making about their relative's care. People were supported to eat and drink enough to maintain a balanced diet. Staff supported people to maintain their health where appropriate and worked jointly with healthcare professionals to improve outcomes for people.

Right Culture People, relatives and staff felt the service was well managed. There had been improvements in communication and the provider sought feedback from people and relatives to identify areas for

improvement.

Staff were recruited safely and there were enough staff employed to meet people's needs. People were protected from abuse and poor care. The provider supported staff with training, supervision and appraisal. Training included learning disability so care could be provided effectively.

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