About the service Your Choice A and J Support Ltd is a domiciliary care service. At the time of the inspection they had a contract in place to provide set periods of respite care to one person in their own home. The domiciliary care service operated from the provider’s day care service; the day care service was not included in the inspection.
People’s experience of using this service and what we found
Steps had been taken to help ensure the person received safe care and risks from avoidable harm and abuse had been reduced. Risks relating to a person’s healthcare needs and their care at home were identified and steps taken to manage these. Sufficient staff were planned to provide safe care and the provider checked to ensure staff who worked at the service were suitable to do so. Medicines were managed safely, and steps were taken to reduce the risks associated with infection. The provider reviewed care and looked to make improvements should they be needed.
Assessments covered all aspects of a person’s health, care and well-being Staff were trained and knowledgeable in the areas of care the person had been assessed as needing. Staff were supported in and felt confident in their job role. Staff followed nutrition and hydration plans to ensure the person’s assessed needs were met. Information and advice from other healthcare professionals had been sought and followed by staff to ensure the person received effective care. The person was supported to have maximum choice and control of their life 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 were kind and respectful to the person. Staff involved them and their relative in their care and in making decisions. Staff promoted their choices and respected their privacy and promoted their independence.
Staff had a good understanding of the person’s life histories and interests. They were supported to maintain their connections with their local community. Their communication needs were assessed and met. Staff were able to communicate well with the person when they communicated in ways other than verbally.
The provider had clear values and aimed to provide high-quality personalised care. Governance arrangements and audits helped the provider check on the quality and safety of services and identify any continuous learning and improvements. The service was run with an open and approachable management team. The person, their relative and staff were involved in the development of 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
This service was registered with us on 24 September 2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
We found no evidence during this inspection that the person was at risk of harm.
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.