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.
About the service
Dale Care - Redcar and Cleveland Extra Cares supports people to live in their own homes. People using the service lived in flats across 4 schemes, across the Redcar area. The service provides personal care and support to people who may be living with dementia, of older age, a learning disability or autistic spectrum disorder, a physical disability, sensory impairment or mental health needs. At the time of the inspection, the service was providing care to 172 people.
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.
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 policies and systems in the service supported this practice.
Risks to people's health, safety and well-being were effectively managed. Medicines were administered safely. The provider had effective infection prevention and control systems in place.
People were supported to access specialist health and social care support where appropriate. People told us they felt safe when receiving support from staff. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.
Right Care:
People told us staff arrived on time and they received support from the same good group of staff, which promoted good continuity of care. People's needs were assessed prior to the commencement of the service. The assessment included people's health, physical, emotional and communication needs. Care provided was personalised and supported people’s preferences and wishes. Care plans had been reviewed regularly to ensure they were accurate.
Staff respected people's privacy and dignity. People were encouraged to be independent and to carry out tasks without support.
People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. The service was continuing to explore how they supported people from different religious and cultural backgrounds to ensure they promoted and upheld people's beliefs.
Right Culture:
The provider had recruitment processes in place to ensure suitable staff were employed. New staff we spoke with said this process was clear, inclusive and supportive.
Systems were in place to manage complaints. People and staff spoke positively about the management of the service and their openness to feedback. The management team was approachable, maintained regular communication, and listened to the views of others.
Systems to monitor the quality and safety of the service were in place. The provider was open to improvement and listened and acted on feedback we provided regarding IT issues affecting the service. The registered manager was a positive influence, open and aware of their legal responsibilities.
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 24 December 2021 and this is 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.