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
Radis Community Care (Park View) is a domiciliary care service and extra care scheme registered to provide personal care to people living in their own homes. The service is registered to support people both older and younger adults, some of whom may have mental health needs, a physical disability, or were sensory impaired. The care agency can also support people with a learning disability and autism. At the time of the inspection 13 people were using the domiciliary care agency at the extra care housing scheme. The extra care housing scheme building had 34 flats with shared rooms, a restaurant and a shared garden.
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 staff 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 staff encouraged people to be as independent as possible. This support helped people to remain living in their own homes.
Staff understood the importance of listening to and respecting people’s choice. They supported people who required assistance with their medicines to encourage the best possible health outcomes for them.
Staff had training on infection control practices, and we saw, and they told us that Personal Protective Equipment (PPE) such as disposal face masks, gloves and aprons were readily available and used.
Right Care:
Staff cared for people kindly. They understood and responded to people's individual care and support needs and wishes.
People’s needs were assessed prior to them moving into the extra care housing scheme to ensure that if they required personal care support, staff could meet those needs.
Staff knew how to protect people from harm. They were trained to recognise, and report poor care or harm. Staff respected and protected people's privacy and dignity.
The management team and staff worked with other health and social care professionals to maintain people’s well-being wherever possible.
Right Culture:
Staff told us the registered manager updated them on guidance and legislation updates. However, the registered manager was not aware that they needed to implement the guidance Right support, right care, right culture.
Staff were trained to support people. This included training on supporting people with a learning disability. People told us they could communicate with staff and the management team. They and their relatives, where appropriate felt involved in the agreeing their family members care decisions.
Incidents and accidents were documented, and action was taken when needed. This included staff supervisions to discuss safe medicines administration to try to reduce the risk of the recurrence of errors.
Audits were undertaken to monitor the quality of the service. Surveys were sent to people to ask for feedback on the service provided. Staffs communication was good.
We have recommended that the provider ensures that all registered managers are fully aware of all the guidance and legislation they should be working in line with.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 11 August 2021 and this is the first inspection. The last rating for the service under the previous provider was good, published on 5 November 2019.
Why we inspected
This inspection was based on the service being unrated since the new provider registered with the CQC.
Recommendations
We have recommended that the provider ensures that all registered managers are fully aware of all the guidance and legislation they should be working in line with. For example, Right support, right care, right culture.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.