About the service:

Laniwyn Services Ltd provides personal care to children and adults living with a learning or physical disability in their own homes. At the time of this inspection eight people were receiving the regulated activity of personal care.

People’s experience of using this service:

People’s relatives confirmed that staff verbally sought consent prior to offering or delivering care. However, when people reached adulthood the appropriate processes were not followed to obtain consent from them.

We found that documentation relating to people’s care had not been completed, updated or reviewed. Although staff clearly knew how to care for people, this placed people at risk. Governance systems to check and monitor the quality and safety of care provided was not consistently in place. Audits did not always identify areas for improvement such as incomplete records or additional areas of training.

People’s relatives we spoke with were happy with the care provided and the staff who provided care. They told us that staff were reliable, and the support provided to their relative meant people were able to lead fulfilling lives. Key recruitment checks were obtained before new staff started work. One person’s relative said, “They are of a great help to me and [person] and have made a great positive change to my family.”

People’s relatives told us the care provided to people was safe. Staff knew how to identify and report their concerns to management. People were cared for by sufficient numbers of regular staff they were familiar with. One person’s relative said, “I feel very safe to leave them with [person] and also [person] feels safe and happy to be looked after them.”

People’s changing health needs were known to staff who provided care that met those needs safely. People’s relatives confirmed they were satisfied with how risks were positively managed and responded to. Where necessary staff sought and followed relevant advice from healthcare professionals.

People’s medicines at the time of inspection were not managed or administered by staff. Staff supported people with preparing meals and drinks in a hygienic way, using protective equipment, such as gloves and aprons.

People’s relatives and health professionals told us the quality of care provided to people was good. Staff shared a team ethos and worked well together to deliver good care, which helped people to continue to live in their own homes among their families.

People’s relatives told us the care provided was person centred and met people’s needs, choices and preferences. They told us staff supported people to maintain their independence and choices about how their care was delivered. Staff took time to support people with their interests to avoid social isolation. Everyone we spoke with felt comfortable to raise concerns or complaints and were confident that these would be dealt with.

Rating at last inspection:

Laniwyn Services Ltd was registered on 16 October 2017. This was the first inspection since the service was registered, therefore a previous rating had not been provided.

Why we inspected:

This was the first rated comprehensive inspection of Laniwyn Services Ltd carried out as a routine planned inspection.

Follow up:

We will share our findings with the local authority commissioning team. We will continue to monitor the service through the information we receive. Where this information suggests a decline in the standard of care provided we may revisit the service.