About the service The service is a domiciliary care agency, providing care and support to people living independently in the community or with their families. There were 11 people receiving care and support from the provider at the time of the inspection.
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.
Right Support
Staff provided support to identify people’s aspirations and goals and assist people to plan how these would be met. There was an ethos of supporting people to develop new skills and achieve independence where possible. Staff demonstrated pride in understanding people’s strengths and promoted what they could do.
Staff enabled people to access specialist health and social care support in the community.
Staff supported people to make decisions following best practice in decision making.
Right Care
People could communicate easily with staff as staff understood their individual communication styles and had received appropriate training.
Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. Staff exhibited a good understanding of the need to uphold people’s privacy and dignity.
Staff understood how to protect people from abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and were confident about how to apply it.
People could take part in activities and keep in touch with people who were important to them. They were supported to develop and maintain meaningful friendships and relationships in the wider community, including at specialist day centres and with friends and families.
Right culture
The service had enabled people and those important to them to work with staff to develop the service.
Feedback was regularly sought from people, and relatives told us they found the provider easy to engage with. A smaller number of relatives told us they did not feel local managers responded to them in a timely manner. We raised this with the registered person who told us they would make this a focus of meetings with local managers going forward to ensure any concerns were identified and addressed.
Staff and managers ensured the quality and safety of the service had been fully assessed to ensure people were safe. Safe recruitment practices were followed. Staff knew and understood people well. People received good quality care, support and treatment because appropriately trained staff could meet their needs and wishes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published January 2018)
The overall rating for the service remains good based on the findings of this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Principle Support Ltd on our website at www.cqc.org.uk.
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.
Follow up
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.