Right at Home (East staff) is a domiciliary care agency. The service is registered to provide personal care to younger and older adults with various needs including, physical disabilities, sensory impairments, and people living with dementia or a learning disability. At the time of our inspection there were 12 people using the service. Not everyone who used the service received personal care. In this service, the Care Quality Commission can only inspect the service received by people who get support with personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided.
People’s experience of using this service and what we found
People received an exceptionally personalised service that met all their needs and preferences. People unanimously told us that the team at Right at Home adapted the way they worked to support people's individual needs to provide a truly person centred service. People shared examples of Right at Home going out of their way to offer care and support in an exceptionally responsive way.
People were protected from the risk of abuse and harm. The appropriate action had been taken when safeguarding concerns had been raised with the registered manager. Recruitment practises were followed and there were sufficient numbers of staff to ensure safe care. Personal Protective Equipment (PPE) was readily available for staff to use. Medicines were managed safely. People received their medicines as prescribed.
People's needs were assessed prior to starting with the service and care plans were developed according to people's needs. People and their relatives told us staff were on time for their visits and if on an occasion staff were delayed, they would be informed. People felt able to complain and felt listened to.
People told us they were treated with dignity and respect and were encouraged to be as independent at possible.
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.
Governance systems were in place to monitor the standard of care people received. The service worked in partnership with other health and social care organisations and the community to achieve better outcomes for people using the service.
The registered manager demonstrated a commitment to providing a good quality care service to people in the local community.
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.
At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection:
We registered this service on 16 August 2019 and this was the first inspection.
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.