About the serviceThis service is a domiciliary care agency and provides personal care to people living in their own houses and flats in the community. It provides a service to younger adults, and children with learning disabilities. There are some older people also receiving a service.
At the time of our visit, the provider offered a service to 15 people with ‘personal care’ and help with tasks related to personal hygiene and eating. We also take into account any wider social care provided. The service offers services and support outside the scope of this inspection, as they supply staff to organisations as well as outreach support to individuals, focusing on people with a learning disability or autism.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Relatives and health and social care professionals praised the staff, the service, and in particular the management of the service. The registered manager was praised for her effectiveness, kindness and compassion in leading the service by relatives, professionals and staff.
Right Support:
The service provided a range of support to people including personal care. Staff were matched with people and families, taking into account their specific cultural and religious needs. Relatives and health and social care professionals praised the support offered by the service, with one professional describing the moral and value views of the staff and management team as a good quality. The staff team provided care that maximised people’s choice, control and independence.
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.
Right Care:
Care records were person-centred and promoted people’s dignity, privacy and human rights. Risk assessments were comprehensive, up to date, and covered a wide range of activities, behaviours and elements of care giving. The management team worked hard to support staff in their caring role, supervision took place regularly and training in all key areas was in place. The management team had developed effective systems and audit processes to ensure good quality care was in place. Health and social care professionals praised the service, and in particular, the effectiveness of the registered manager in their leadership role.
Right Culture:
From discussions with people and their relatives, we were aware that the service provided good quality care, which promoted and supported people to lead confident, inclusive and empowered lives. People were enabled to participate in a wide variety of community activities and the registered manager ensured that staff were encouraged and supported to work to the values of ‘Right support, right care, right culture.’
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
Since the last inspection, this provider has re-configured their services, and this service has moved location. The last rating for the service at the previous premises was Good, published on 9 March 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.