9 June 2023
During a routine inspection
About the service
Domiciliary Care Agency Surrey is a domiciliary care and 'supported living' service and registered to provide personal care and support to people who have a learning disability or complex needs in their own homes. 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 the inspection there were 32 people receiving personal care in 15 different supported living settings and in their own homes. We visited people who lived in self-contained flats or, adapted houses where people had their own bedroom and sometimes individual or shared bathrooms as well as shared communal areas.
People’s experience of using this service and what we found
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.
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
The service provided was safe for people to use and staff to work in. People were supported to have the maximum possible choice, control, and independence, by staff who were focussed on their strengths and promoted what they were able to do. This meant people pursued their interests, with staff support. The quality of the service provided, was reviewed regularly, and changes were made to improve people’s care and support. This was in a way that suited people best. The service had established working partnerships that promoted people’s participation and reduced their social isolation. Staff enabled people to access specialist healthcare services and followed best practice when supporting people with communication and making decisions.
Right Care
When supporting people, staff promoted their equality, diversity, and they understood people's cultural needs and provided appropriate care. Staff were kind, compassionate, caring, and promoted people's privacy and dignity. There were enough well trained and appropriately recruited staff to support people to live safely, whilst still enjoying their lives. People and staff had risks to themselves assessed, monitored, and reviewed. Complaints, concerns, accidents and incidents and safeguarding issues were appropriately reported, investigated, and recorded. People’s medicines were safely administered by trained staff.
Right culture
The service leadership and management were identifiable, transparent, and there was an open, positive, and honest culture. The provider had a clearly defined vision and values, that were understood by staff who followed them. Staff understood people well, were responsive, and supported them in their aspirations to live the quality life they chose. This was by placing people’s wishes, needs, and rights at the heart of everything they did. Staff were aware of their responsibilities, accountability and prepared to take responsibility and report any concerns they might have.
Rating at last inspection
This service was registered with us on 1 August 2022, and this is the first inspection since the provider changed address.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Domiciliary Care Agency Surrey 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.