20 December 2023
During a routine inspection
Support at Home is a home care service providing support and personal care to people living in their own homes. The service provides short-term, structured reablement support to help people to regain their independence following an illness, injury, disability or loss of personal networks or social support. The service also provides short-term personal care following a period of reablement. The service is provided in the Eden, South Lakes and Furness districts of Cumbria. At the time of our inspection there were 63 people using the service.
The provider for the service changed to Westmorland and Furness Council following local government reorganisation in Cumbria and the creation of Cumberland Council and Westmorland and Furness Council. The service was previously carried on by Cumbria County Council.
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
People were safe and protected from abuse and avoidable harm. Risks to people’s safety had been identified and managed. There were enough staff to support people. People received the support they needed to take their medicines safely. People were supported to continue to manage their own medicines, to retain their independence. People were protected from the risk of infection.
People’s needs were assessed before their support was agreed. This helped to ensure the service was suitable to meet their needs. Staff were trained to give them the skills to support people. People received support, as they needed, to maintain a balanced diet. Staff supported people, if required, to contact their doctors. The registered manager and staff were aware of their responsibilities under the Mental Capacity Act 2005 and people’s rights were protected. 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.
Staff treated people in a kind and caring way. They supported people to regain their independence. Staff asked people for their views and included them in decisions about their support.
Support was planned and provided to meet people’s needs. People were included in setting goals they wanted to achieve. Staff supported people to meet their goals and reviewed their support as the care they needed changed. Staff knew how people communicated and provided information in the way people needed. The provider had a procedure for responding to complaints about the service. Where people raised concerns, the registered manager took action to resolve issues they shared.
People knew the management team and how they could contact them. People valued the support provided and said they would recommend the service. Staff were well supported and able to provide good care to people. The provider and registered manager were aware of their responsibilities under the duty of candour. The service worked cooperatively with other services to ensure people received the support they needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 1 April 2023 and this is the first inspection.
The service was previously carried on by a different provider. The last rating for the service under the previous provider was good (published on 13 March 2018).
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.