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. About the service
Unique Quality Care Limited is a domiciliary care service providing personal care and support for people living in their own houses and flats. The service is registered to provide support for children, younger adults and older people who may live with physical or sensory impairments, mental health conditions, dementia or eating disorders. The care agency can also support people with a learning disability and autism.
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 our inspection there were 35 people using the service.
People's experience of using this service and what we found
Right Support:
People were supported to have maximum choice and control of their lives and care workers supported them in the least restrictive way possible and in their best interests; the systems in the service supported this practice.
To enable people to have as much control over their own lives as practicable care workers encouraged people to be as independent as possible. This support helped people to remain living in their own homes. Care workers understood the importance of listening to and respecting people's choice.
People were supported with their medicines when needed and the provider ensured checks were made on care worker competencies to deliver this support safely. Care workers had training on infection control practices and Personal Protective Equipment (PPE) such as disposable face masks, gloves and aprons were readily available and used.
People had care plans and risk assessments to identify risks they faced and how staff should manage these. Staff were knowledgeable about the content of these risk assessments and supported people safely.
Right Care:
People were supported with kindness and empathy. Care workers understood and responded to people's individual care and support needs and wishes. Care workers knew how to protect people from harm and were trained to recognise and report instances of poor care or harm.
The provider ensured there were enough appropriately skilled care workers to meet people's needs and help keep them safe. The provider assessed people’s needs and monitored the care to help ensure people received the care they needed at the right time.
Care workers respected and promoted people's privacy and dignity. The management and care team worked with external health and social care professionals to help maintain people's well-being wherever possible.
Right Culture:
The registered manager updated care workers on guidance and legislation updates. The registered manager was aware of, and supported people in line with the guidance Right support, right care, right culture.
Care workers received the training they needed to support people safely. This included training about supporting people with a learning disability or autism.
Incidents and accidents were documented, and action was taken when needed to reduce the risk of recurrence. Audits were undertaken to monitor the quality of the service.
People's quality of support was underpinned by the provider’s quality assurance system. Surveys were sent to people, or their relatives where appropriate, to ask for feedback on the service provided.
People were supported by care workers who understood best practice in relation to supporting people with a learning disability. The provider ensured people were supported by staff that had the right skills and training.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 23 August 2021 and this is the first inspection.
Why we inspected
This inspection was based on the service being unrated since the new provider registered with the CQC.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.