21 October 2022
During a routine inspection
Deeper Care York is a domiciliary care agency providing personal care to people in their own homes. The service is registered to provide support to younger and older adults who may be living with a sensory impairment, physical disability, learning disability or autistic spectrum disorder, or dementia.
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. At the time of the inspection, 29 people were using the service, of which 23 people were receiving personal care calls.
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.
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
Right Support:
People had choice and control of their care and their independence was promoted by caring and considerate staff. One person said, “They don’t need to ask what to do, they just instinctively know what to do. They are incredibly organised, they even put my wheelie bin out.” A relative said, “They do seem to achieve an awful lot within the 30 minutes, such as little jobs they do for my relative which they really appreciate.”
People were cared for safely by staff who were trained and had the skills and knowledge to manage risks to people’s safety and wellbeing. Staff were safely recruited and there was enough staff to meet people’s needs as planned. A relative told us, “They let us know if they are running late and they have never missed a visit yet.”
Staff administered people’s medicines as prescribed and followed infection prevention and control processes. Staff monitored people’s wellbeing and made referrals and followed advice from relevant professionals.
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:
People provided very positive feedback about care staff and how they were supported. Comments included, “I have found that all the carers are kind and thoughtful” and “We cannot praise these carers enough. They are brilliant. They are so good to both of us.”
Staff supported people in a person-centred way and care was tailored to people’s individual needs and routines. A relative said, “The carers all talk to my relative and take time with them and my relative is very happy with them. The carers are getting my relative to respond which is lovely to see. They are all fantastic with my relative.”
People were supported by staff who knew them well and their privacy and dignity were maintained. People’s rights were upheld and equality and diversity was positively embedded in the service.
Right Culture:
The service was well-led and the registered manager promoted a positive culture and effective working relationships within the team and with relevant professionals. The quality and safety of the service had been maintained.
The registered manager valued and supported their staff professionally and personally.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 5 July 2021 and this was the first inspection.
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.