Ezer Leyoldos Domiciliary Care Agency

Updated 20 December 2022

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

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 houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period notice of the inspection because the service is small and we needed to ensure that the provider and registered manager would be available to support the inspection. We also needed to give the person receiving support time to prepare for meeting us.

Inspection activity started on 31 October and ended on 23 November. We visited the location’s office on 31 October and visited the person in their home on 14 November. Inspection activity finished on 23 November 2022.

What we did before the inspection

Before the inspection we reviewed in the information we already held about the service. We sought feedback from the local authority commissioning and safeguarding teams. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually. We used all this information to plan our inspection.

During the inspection

During the inspection we met the registered manager and the chief executive of the provider. We met two members of staff and the person receiving support. We reviewed one staff file including recruitment, training and supervision records. We reviewed one person’s care file including assessments, care plans and records of care. We reviewed various policies, procedures and records relevant to the management of the service.

Updated 20 December 2022

About the service

Ezer Leyolodos Domiciliary Care Agency is registered to provide personal care to people living in their own homes. At the time of our inspection they were facilitating support to one person who lived in a bespoke setting in their community. 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.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Right Support: The service was set up to maximise the choice and independence of people receiving support. The model of care was truly unique and had been developed to ensure the person was able to maintain and develop their community relationships. 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.

Right Care: People received culturally appropriate care that promoted their religious and cultural identity. People had been involved in developing their care plans and were enthusiastic about the range of activities they were supported to be involved with. Staff spoke about people with kindness and compassion. Staff were proud of people’s achievements and spoke about them in a way that promoted people’s sense of achievement and personhood. Care was designed to promote people’s independence and community wellbeing

Right Culture: Staff demonstrated clear values which promoted the rights and achievements of people using the service. There was an open culture which focussed on supporting people to achieve their desired outcomes. People told us they were supported to “have a blast” within a service that supported them to manage risks in a safe way.

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 requires improvement (published 27 November 2019)

At our last inspection we recommended that the provider make improvements to their safeguarding and whistleblowing processes. We also made a recommendation about improving their recruitment processes. At this inspection we found both our recommendations had been followed.

Since our last inspection the provider had made changes to their statement of purpose. When we last inspected they worked only with children. Since then they have stopped this work and now only work with adults.

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.