- Homecare service
Lomack Healthcare
Report from 21 February 2024 assessment
Contents
Ratings
Our view of the service
Lomack Healthcare provides personal care in a supported living service to young people with learning disabilities and autistic spectrum conditions. People lived in their own accommodation with shared communal areas. At the time of our inspection there were 2 people receiving support with personal care. 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. We assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. We found safe systems and processes in place to ensure staff understood how to protect people from poor care and potential harm. There were sufficient staff who had been recruited safely to ensure people’s care and support needs were met. Staff supported people to have choice, control, and independence over their lives. People were respected and valued as individuals and staff understood people's individual care needs and preferences and used this knowledge to provide people with person centered care. We carried out our on-site assessment and visited people using the service on 04 July 2024. Off site assessment activity started on 11 June 2024 and ended on 05 July 2024.
People's experience of this service
Right Support Staff understood and responded to people’s individual needs and were able to recognise and report abuse. People were supported by regular staff who knew them and their needs well, which promoted continuity of care. The provider had followed their recruitment practices to ensure people employed were suitable to work at the service and support people safely. Some people communicated non-verbally, for example through sign language, sounds, pictures, and symbols. They could interact with staff and others involved in their care because staff had the necessary skills to communicate effectively. Right Care People’s needs, and choices were fully assessed before they received a care package. People’s care plans included information needed to support them safely and in accordance with their wishes and preferences. Staff understood and responded to people’s individual needs to ensure they were supported to be as independent as they chose. Staff, relatives, and people worked together to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks. Right Culture The service valued and acted upon people’s views. People were relaxed and happy in the presence of staff. Staff supervision, staff meetings and spot checks were undertaken regularly and used to develop and motivate staff, review their practice, and focus on professional development. 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.