Background to this inspection
Updated
16 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 10 September 2019 and ended on 17 September 2019. Calls were made to staff, people who use the service and their relatives during this time. We visited the office location on 10 September 2019.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
During the inspection
We spoke with one person who used the service and three of their relatives about their experience of the care provided. We spoke with four members of staff including the registered manager and all support workers. We also received information from the Director of Adult Services for the local authority.
We reviewed a range of records. This included two people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one professional who has contact with the service.
Updated
16 November 2019
About the service
CJP Outreach Services Ltd is a domiciliary care service providing bespoke personal care to nine people living with a learning disability and/or complex needs at the time of the inspection.
Five people 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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The registered manager and provider showed passion and a ‘can do’ attitude to supporting people with complex needs. Stemming from their family experiences, their drive for outstanding care provision was evident in the vision and outcomes for people. People’s needs were thoroughly assessed prior to offering support to ensure the service could meet them creatively and robustly. Feedback from all people, relatives and staff was extremely positive and highlighted how much the service strove to provide individualised and enabling support. Staff were consistent and had developed strong bonds with people over a number of years.
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. People and relatives described the staff as fantastic, exceptionally compassionate and very obliging, often going the extra mile. One relative said, “The support they offer goes above and beyond our original expectations.”
People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People told us they had been to Japan, Australia and Spain with their support staff, fulfilling their lifetime ambitions of following sporting events. This had been facilitated by effective budgetary planning and advocacy provided through the agency.
Staff had been with the service for many years and developed fulfilling relationships with people. They were competent and knew how to safeguard people. They had received regular training and support. Medication practice was safe.
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 23 February 2017)
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.