24 August 2021
During a routine inspection
MAK Community Care is both a domiciliary care and supported living service providing personal care to people in their own homes, including younger adults with a mental health condition, learning disability or autistic people. Not everyone using the service received a regulated activity. The Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection visit the service supported two people with personal care. People who received personal care lived in the Preston and Lincoln areas, although the office operates from Wokingham. The provider has applied to us to add another location in the north of England.
People’s experience of using this service and what we found
There were audits completed to check the safety and quality of the service. However, there was no log of risks or actions taken to address them. Some documentation required review, such as those related to management meetings, outcomes and actions to be taken forward. Staff meetings were held at regular intervals and surveys were used to gather feedback. The manager was experienced and understood the principles of supported living. Locality managers at Lincoln and Preston were proactive, knowledgeable and engaged.
People were protected from abuse and neglect. Risk assessments were satisfactory. There were sufficient staff deployed to safely meet people’s needs. Recruitment checks were satisfactory and ensured only properly vetted staff worked with people. People were protected from the risk of infections.
People's likes, dislikes and preferences were considered. Staff induction, training, supervisions and performance appraisals were completed. There were good links with community health and social care workers. Consent is obtained and recorded; the provider needed to ensure that attorneys and deputies were clearly recorded in the care documentation.
The staff were caring. There was positive feedback from people, families, commissioners and case managers. People were involved in their care planning and reviews. People's independence was encouraged and fostered.
Care documentation was person-centred. The service and staff understood and complied with the requirements of the Accessible Information Standard. There was evidence that people had access to an active social life. There was a satisfactory complaints system in place.
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 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. The model of care was satisfactory because it ensured that people could live their lives how they chose and as an individual member of society. People had choice and control in their life. The care was person-centred and promoted people’s dignity, privacy and human rights. The positive workplace culture amongst staff ensured that people received good care. The service was open and honest with people, families and social care professionals.
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 13 December 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of initial 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.