Lifeways Community Care (Halifax)

At our last inspection we rated this key question Inadequate. At this assessment the provider had made significant improvements, and this key question is now rated good. The provider is no longer in breach of regulation in relation to safe care and treatment or staffing.

People felt safe and were confident to speak up if something was bothering them. People said they were listened to. People lived in safe, comfortable homes where good levels of hygiene and infection control were maintained.

Systems were in place for all staff to take learning from accidents and incidents. Risks were managed positively to make sure people’s choices were respected and supported. People’s care pathways were well managed. Medicines were managed safely.

Staff were recruited safely and there were enough of them to meet people’s needs. .

Our last rating of this key question was good. At this assessment the rating remains unchanged.

People were fully involved in assessing and reviewing their needs and chose who they would like to be involved in this process. This resulted in person centred care plans which people were fully involved in developing.

Staff understood matters around consent and people said staff always sought their consent before providing support. Where people lacked capacity, the principles of the Mental Capacity Act were followed. This included ensuring best interest processes were followed, protecting people’s rights.

Our last rating of this key question was good. At this assessment the rating remains good. People gave us many examples of how the support they received had enabled them to make choices and become more independent. This level of support has resulted in people having confidence in themselves to go forward in leading fulfilling lives. Staff were trained in person-centred practice and were enthusiastic about the importance of having the person at the heart of any decision making and supporting them to maximise their independence as much as possible. Systems were in place to support people in engaging in activities outside the service and in developing new safe friendships and relationships. The wellbeing of staff was prioritised to make sure they were fully supported in their work to improve people's lives.

At our last inspection we rated this key question inadequate. At this assessment, the provider had improved, and this key question is now rated good. The provider is no longer in breach of regulation in relation to person centred care.

People were at the centre of care plan development and chose who they would like to be involved in this process. There were a number of examples of how people had been empowered and supported to make positive changes to their lives. People set personal goals, and we saw examples of huge achievements. Systems were in place to support people with future planning.

Staff had built relationships with healthcare professionals to ensure people had access to appropriate and timely treatment or support. Information was shared with them in ways which met their needs. The registered manager had shared learning about reasonable adjustments to improve people’s access to services.

People felt listened to and systems were in place to make sure people had opportunities to be involved in and give their views about the service. People were well supported to try new experiences and the service promoted and celebrated people’s protected characteristics.

At our last inspection we rated this key question inadequate. At this assessment the provider had made significant improvements, and this key question is now rated Outstanding. The provider is no longer in breach of regulation in relation to Good Governance. The service worked to a ‘Choice Framework’ which detailed their values and staff practice demonstrated these values. Staff had confidence in leaders and were supported and encouraged in their roles and further development. Robust systems were in place for the recruitment and development of leaders. Systems were in place to encourage staff to speak up confidently to all members of the management team. The management team demonstrated their inclusivity and commitment to the well-being and development of staff and people. Staff had confidence in leaders. Effective systems were in place to make sure staff’s protected characteristics were respected and they were treated fairly and supported in their roles. Systems were in in place for effective and inclusive quality assurance. We saw a number of examples of how people had benefited from collaborative working with health and social care professionals, and we received positive feedback from a partner agency. Systems were in place for continuous learning both internally and externally.