About the service EMI-Care UK is a community-based care at home service providing personal care to three people at the time of the inspection. The service is operated by a small, family-based provider. The service can support older adults, people with sensory or physical impairments, people living with dementia and people with a learning disability or autism.
Not everyone who used the service received personal care. The 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.
People’s experience of using this service and what we found
People were protected from the risks of abuse or neglect. The management knew the local safeguarding procedures. Risk assessments were completed to cover people's personal care risks. There were sufficient staff deployed to meet people's needs. Medicines were managed safely. People were protected from the risks of infection.
People's likes, dislikes and preferences were considered and respected. This included any cultural or faith-based requests. Staff completed training in line with Skills for Care guidance. People were encouraged to eat and drink to prevent dehydration and malnutrition. The service worked proactively with other healthcare professionals and organisations. The service was compliant with the provisions of the Mental Capacity Act 2005.
People received compassionate care from a small group of staff, which included the management team. The service's staff were advocates for people and stood up for their rights. This included ensuring people's choices were respected by others. People were involved in their care planning, and social workers were included if needed. People's privacy and dignity were respected.
Care plans were sufficient and contained person-centred information. Staff recorded information in a holistic way, including social and emotional or psychological aspects. People's communication techniques were assessed, and where needed adjustments were made. There was a suitable complaints process in place and the registered manager knew how to manage any day-to-day concerns.
People received support from a well-led service. There were appropriate aims and objectives for the service. There was a positive workplace culture. The service operated in an open and honest way. Quality improvement was continuous, including updates to care documentation, using technology and recruiting extra staff. The service had a good connection with local social workers and the local authority. The management team ensured good communication with people and the staff.
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.
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 the CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were treated as partners in their care, and provided the opportunity to have a say in how their support was provided by the service. People had choices in their support package and could make changes based on their preferences. The management team demonstrated a positive approach to people living with learning disabilities or autism. On occasions, they acted as advocates for them to ensure they received high quality care.
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 19 July 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of service’s registration.
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.