About the serviceSupporting Choice is a domiciliary care service providing personal care to people living in their own homes. The service specialises in supporting younger adults and older people with a physical disability, sensory impairment, mental health needs, dementia, a learning disability or autistic spectrum disorder. At the time of our inspection two younger people were using the service and received 24-hour care and support in their own homes.
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
People received exceptionally person-centred care and support to meet their needs and improve their quality of life. Staff were highly motivated, innovative and person-centred in the way they planned and delivered people’s care and support and encouraged people with activities. Very detailed care plans were regularly reviewed and updated to make sure staff had accurate information and guidance on how best to meet people’s needs. Staff worked hard and went the extra mile to make sure people received the care and support they needed and to improve their quality of life.
Staff were safely recruited and trained to meet people’s individual needs. The registered manager made sure enough suitable, experienced staff were available to support people.
Risks were assessed and managed by staff who had been trained to protect people from abuse and the risk of avoidable harm.
Staff completed a range of training and were very well supported by the registered manager who nurtured and encouraged them to build their confidence and continually learn and develop in the role.
People received effective care. Staff worked closely with people, relatives and professionals to make sure they provided effective care. They continually reviewed how people’s needs were met and were proactive in making suggestions or seeking additional advice, guidance and support when needed.
People shared positive and caring relationships with the staff who supported them. Staff were kind, caring and respectful. They provided person-centred care to help maintain people’s privacy and dignity and promote their independence.
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 knew people’s communication needs and used accessible information to help them understand choices and make decisions.
There had not been any complaints about the service. People felt able to speak with staff or management if they did ever have any issues or concerns. The registered manager was extremely approachable. They promoted a person-centred culture and focussed on making sure staff felt valued. The registered manager continually monitored the service to make sure people were happy with the support provided and it safely met their needs.
For more details, please see the full report which is on the CQC’s website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 14 February 2019 and this was the first inspection.
Why we inspected
This was a planned inspection based on when the service was registered.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.