Enable Inclusive Support Ltd

Updated 14 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 was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

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

This inspection was announced.

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.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we had received about the service since its registration. We sought feedback from the local authority who commission care and support. We used this information to plan our inspection.

During the inspection

We spoke with the family member of the person who used the service. We spoke with a support worker and team leader who directly supported the person, and the registered manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included the care records of the person. We looked at two staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including police and procedures were reviewed.

After the inspection

We continued to seek clarification from the provided to validate evidence found. We looked at information evidencing the provider’s links with the local community and staff training records.

Updated 14 November 2019

About the service

Enable Inclusive Support Ltd is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection there was one person using the service.

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.

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 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 received 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

Safety of the person was promoted, through effective systems, policies and procedures to safeguard against potential abuse. Potential risks were assessed and reviewed, and staff followed the guidelines to reduce risk. The person was supported by sufficient staff, who had undergone a robust recruitment process and took account the values of the provider. Staff had the appropriate skills, knowledge and experience to meet the person’s needs, which included training to ensure the person’s medicine was managed safely.

A family member had been involved in the assessment of their relative’s needs, and continued to be involved in the review and planning of their future care and support. The person’s health, care and welfare was monitored and promoted, which included support to eat a healthy diet. 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.

Systems were in place to enable the family member and staff to work collaboratively, and share information about the person’s care and support. The family member was positive about the support provided by staff, which included staff’s approach to the promotion of their relatives, privacy and dignity. The service consistently applied the principles and values of Registering the Right Support and other best practice guidance.

Support and care plans reflected the needs of the person. The outcomes for people using the service reflected the principles and values of Registering the Right Support. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. Information about how to raise concerns was shared with all relevant parties, no concerns or complaints had been received.

Staff and a family member were positive about the management and leadership of the service. Staff referred to the provider’s vision and values and the adoption of these into their every day practices. Effective governance systems were in place to ensure good outcomes for the person, which included seeking the view of the family member and staff about the service provided.

The provider had a clear focus on continuous learning. The service consistently 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. This was achieved as the provider worked collaboratively with other partner agencies and community services to promote an inclusive culture for adults with disabilities.

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 06/12/2018 and this is the first inspection.

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.