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.
About the service
Daffodil House is a community based service that provides personal care to people living in their own homes in a supported living setting. At the time of inspection one person was receiving a service and in receipt of the regulated activity of personal care.
Not everyone who uses this type of service would receive personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
Daffodil House is made up of four single bedrooms. There are shared living areas which include the kitchen, two lounges, a dining area, two bathrooms and garden. There was a separate office area for staff.
People’s experience of using this service and what we found
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.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support
The model of care and the accommodation maximised people's choice and independence. Staff focused on people’s strengths and promoted what they could do. The service worked with people to plan for when they experienced periods of distress. People had a choice about their living environment and were able to personalise their rooms. Staff supported people to play an active role in maintaining their own health and wellbeing.
Right care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity and understood and responded to people’s individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could take part in activities and interests that interested them. The service gave people opportunities to try new activities. Staff and people co-operated to assess risks people might face.
Right culture
People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes. Staff knew and understood people well and were responsive, supporting them to live a quality life of their choosing. People and those important to them were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
The provider’s oversight of the service had not identified some risk assessments, medicine records and protocols required more information. However, these gaps in information did not post any risk to people because staff and the registered manager knew how to support people safely. The registered manager immediately reviewed and updated the information at the time of the inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 29 January 2021 and this is the first inspection.
Why we inspected
This is a newly registered provider and we needed to inspect and rate the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.