We carried out a review of the data available to us about Rockware Business Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rockware Business Centre, you can give feedback on this service.
Rockware Business Centre is a domiciliary care agency operated by Solutions Social Care Limited. They provide personal care in people's own homes and in the local community. Whilst the agency is registered to provide a service to children above the age of 13, younger and older adults, some of whom might live with dementia and disabilities, their focus was working with children and people who had learning disabilities and autism.
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 our inspection five people were receiving personal care.
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 had detailed person-centred support plans which stated their preferences. Staff were provided with training to equip them to understand people’s behavioural support needs and to support people in a positive and proactive manner.
The registered manager and management team had systems and processes in place to allow them to monitor and have oversight of the quality of the service being provided. They provided staff with support which included supervision.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The care provided by staff maximised people’s choice, control and independence. Care plans were person-centred and promoted their dignity, privacy and human rights. The ethos, values, attitudes and behaviours of the managers and care staff ensured people using services led confident, inclusive and empowered lives.
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 requires improvement (published 15 October 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions effective, responsive and well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rockware Business Centre on our website at www.cqc.org.uk.
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.
Rockware Business Centre is a domiciliary care agency providing personal care in people’s own homes and in the local community. A service was provided to 35 people. They were registered to provide a service to children above the age of 13, younger and older adults, including adults living with dementia and people with disabilities.
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 our inspection 13 people were receiving the regulated service.
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 provider did not always review people’s support plans in a timely manner. This meant that information might not be up to date and the progress of objectives were not monitored. People and their relatives had not signed to say they agreed with their support plan and the provider had not checked if relatives had the legal right to act on behalf of their family member.
Notwithstanding the above staff had good guidelines for managing behaviour that challenged and had received a good level of training. The registered manager, management team and care workers were all well informed about people and knew their preferences. Staff used different methods to communicate with people and supported them to make choices. They promoted their privacy and dignity.
The registered manager arranged a safeguarding adult with learning disabilities workshop which professionals, staff and people were invited to attend. Relatives told us they felt their family members were safe with the care workers who told us how they would recognise and report abuse.
Staff felt well supported by the registered manager who valued them and gave opportunities to progress in their career. Senior staff and contracted staff received supervision. However, staff on zero hours contract did not and we recommended the provider look at national best practice guidance about this.
People were supported to attend varied activities and to be as independent as possible.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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.
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 on 25 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner..
This service provides personal care and support in people's own homes for vulnerable adults and children aged 13 to 18. It is located in the Greenford area of London.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
At the previous inspection on 3 February 2014, the agency was meeting the standards under the previous method of regulation. At this inspection the regulations were met.
People told us they were happy with the service the agency provided and notified of changes to the timing of their care or staff providing it. The support was provided to their satisfaction, the staff were professional and really cared. People thought the service provided was safe, effective, caring, responsive and well led.
The agency records were kept up to date and covered all aspects of the care and support people received, their choices and identified and met their needs. They were clearly recorded, fully completed, and regularly reviewed with information that enabled staff to perform their duties well.
Staff knew the people they gave support to and the way people liked to be supported. They also worked well as a team providing information when it was required. Staff provided care and support in a friendly, skilled and supportive way that was focussed on the individual. They were well trained, knowledgeable and made themselves accessible to people using the service and their relatives. Staff said the organisation was a good one to work for and they enjoyed their work. They had access to good training, support and there were opportunities for career advancement.
People using the service, including younger adults and their parents were encouraged to discuss health and other needs with staff that may affect their support needs and the way they were met. People also agreed information that was passed on to GP’s and other community based health professionals, as appropriate. Staff protected people from nutrition and hydration associated risks by giving advice about healthy food options and balanced diets whilst still making sure people’s meal likes, dislikes and preferences were met.
The agency staff knew about the Mental Capacity Act and their responsibilities regarding it.
People told us the office, management team and organisation were approachable, responsive, encouraged feedback and frequently monitored and assessed the quality of the service provided.
People using the service consented to care and were given choices in activities and relatives were consulted when activities were discussed.
We inspected care records and risk assessments and found the provider was organising care effectively and planning interventions that met people's needs and involved them in their care. The provider was allocating staff effectively and care staff told us they had enough time and resources to manage their workload effectively.
There were systems in place to monitor the quality of the care being provided to people using the service to ensure they were receiving good care and any areas for improvement were identified and addressed.
We looked at the complaints policy and process and found that, whilst there were very few complaints about the service, people felt able to raise concerns if they needed to. People who used the service told us they had confidence in the senior management team to resolve any issues quickly and effectively.
People using the service or their representatives told us that they felt well supported and safe with their care workers. Their comments included 'they're good, they work to the care plan and people are well supported' and 'they are flexible and provide a good service.'
We found that the care needs of people using the service were assessed and recorded in their care plans. Risk assessments had been completed to make sure that people were cared for safely.
The agency had thorough recruitment policies and procedures and all required pre-employment checks were carried out.
The service had procedures for monitoring the quality of services provided. This meant that people using the service received the care and support they needed.