About the service Premier Community Care is a domiciliary care agency. The service provides personal care to younger adults and older people. It supports autistic people, those with learning and/or physical disabilities, sensory impairments, mental health needs and those living with dementia. At the time of our inspection there were 232 people receiving personal care from the service.
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
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
People received safe care and support in their own homes. Staff received training in safeguarding and knew how to protect people from the risk of abuse. People’s individual risks were assessed and recorded. Staff reported accidents and incidents which were followed up appropriately and reviewed by the management team. The registered manager had effective systems and processes in place to ensure oversight of the safety and quality of the service. Most people and relatives were happy with the care and support provided. More staff were being recruited so there could be less reliance on agency staff and more consistency for people who used the service.
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
When people showed behaviour which may indicate distress, staff knew how to offer care and appropriate support. Staff were recruited safely and people received support from a small team of consistent staff wherever possible. Medicines were managed safely and effectively. People's individual choices were recognised and respected.
Right Culture
The registered manager encouraged an open and positive culture. The service was well managed and provided high quality, consistent care to people in their own homes. The registered manager had established effective reporting mechanisms for staff responsible for key aspects of the service. This had improved communication and led to a more robust overview of the service. Effective quality monitoring systems ensured improvements were identified and acted upon for the benefit of people using the service.
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
The last rating for this service was good (published 29 March 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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 Premier Community Care on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.