About the service Willboag Limited is a domiciliary care agency providing personal care to children and adults. The service provides support to people in their own homes. At the time of our inspection the service was providing personal care to five children and young people with a learning disability and/or autism.
Not everyone who used the service received personal care. 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
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.
Right support
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. People lived at home with family members who told us their relative was safe with care staff. People were encouraged to make choices and decisions in accordance with their level of understanding.
People had their risks assessed to reduce the risk of potential harm to them. People who may become anxious or distressed had proactive plans in place to reduce the need for restrictive practices. Recruitment checks were carried out to ensure staff employed were safe to work with people. Systems were in place to report and learn from any incidents where restrictive practices were used.
People were cared for and supported by staff who were suitably trained and supported to effectively perform their roles and responsibilities.
Right care
Care was person-centred and promoted people’s dignity, privacy and human rights. People were safeguarded from the risk of abuse as staff knew how to report concerns should they suspect or witness abuse. Relatives told us staff were kind and caring towards their relative and treated them with dignity and respect. Relatives confirmed that they were included in decision making about their relative’s care. People were supported to maintain their privacy, dignity and independence by a staff who knew them well. Staff were matched to people based on their skills, qualities and interactions with people who used the service.
People had their communication needs met and information was shared in a way that could be understood.
People were supported to access food and drink that met their dietary needs and wishes. People were supported to stay healthy and well, and to access community health and social care services as and when required.
Right culture
The ethos, values, attitudes and behaviours of management and care staff promoted a service which was inclusive, empowered and encouraged good outcomes for people who used the service. Relatives and staff spoke positively of the registered manager. Managers ensured that staff had relevant training, supervision and appraisal. Governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs. Staff worked well with other services and professionals to improve outcomes for people.
Relatives told us the registered manager was approachable and took action to resolve issues where needed. Staff told us they were well supported by the registered manager and were listened to and encouraged to discuss their views regarding the service.
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 08 January 2020 and this is 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.