Domiciliary Care Services and Supportive Living Services is a supporting living and domiciliary care service providing personal care to people living in the Calderdale area. The service provides support to people with a learning disability and autistic people. The service provides supported living services in 5 locations. At the time of our inspection there were 24 people using the service either in their own homes or in supported living locations. Not everyone who used the service received 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.
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.
The service met the principles of Right support, right care, right culture.
Right Support:
People were safe and protected from avoidable harm. Detailed risk assessments were in place and regularly reviewed to make sure staff knew how to support people safely. Medicines were managed safely. Adaptations were put in place to enable people to manage their own medicines wherever possible. Environmental risks were identified and addressed through audit systems. The model of care met the right support, right care, right culture guidance. There were enough staff to meet people’s needs and support people in meeting their lifestyle choices. Staff were safely recruited. 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. When people were not able to make important decisions, the best interest process was followed. People were supported to be as independent as possible.
Right Care:
The service focused on people's quality of life and maximising skills. Care delivery was person-centred. Care and activities to meet people’s preferences were planned in a way that met people's individual needs and interests. Opportunities for new experiences such as meaningful employment were sought. People's communication needs were met. People’s relatives told us staff picked up on non-verbal communication and alternative methods of communication were used as needed. People told us they were happy and were genuinely fond of staff. One person said staff were like family to them. Staff demonstrated a respect for the people they supported.
Right Culture:
Audit systems were in place to make sure people were safe and received the support they needed and had a good quality of life. Staff received training appropriate to the needs of the people they supported and understood the mission, visions and values of the service. People had opportunities for their views of the service to be heard. People were supported to be part of the local community and to raise awareness of living with a learning disability.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 10 October 2020 and this is the first inspection.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.