We carried out a review of the data available to us about Thames Valley & North - Domiciliary Care on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Thames Valley & North - Domiciliary Care, you can give feedback on this service.
Thames Valley & North - Domiciliary Care and Supported Living is a 'supported living' service that provides support packages for people with a learning disability or autistic spectrum disorder. Supported living is the name given to support to people who either live in their own homes, either through a tenancy with a housing provider, or live in their own homes through ownership or shared ownership with a housing association.
Not everyone who uses the service receives the regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. The service has a number of ‘supported living’ settings in Oxfordshire. At the time of the inspection 40 people were receiving a regulated activity at 16 addresses.
People’s experience of using this service and what we found
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 have asked the registered manager to ensure all outcomes of Deprivation of Liberty Safeguard (DoLS) applications are submitted to CQC.
Complaints, concerns and constructive feedback was addressed. However, the provider needs to ensure the process is fully followed and documented as per their policy and procedures.
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 and setting maximises people’s choice, control and independence. Support plans were detailed and person-centred. The support plans provided guidance for staff about how best to support people's needs and preferences. The staff received training and support to enhance their skills and understanding in relation to maximising choice, promoting person-centred care and creating the right culture. People had access to a range of activities and social opportunities. Care was person-centred and promoted people’s dignity, privacy and human rights. The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives.
People were protected from the risks of abuse and harm and people and their relatives said they trusted staff to keep them safe. Staff had received training in safeguarding people.
People's support needs were risk assessed and support plans provided staff with the information they needed to manage the identified risks.
Staff were trained to administer medicines and medicines were managed safely.
Recruitment checks were robust to ensure staff were suitable to work with vulnerable adults and staffing arrangements met people's needs.
Staff had the necessary skills to carry out their roles. Staff had regular training and opportunities for regular supervision and observations of their work performance.
People received tailored support that was centred around their assessed needs, choices and decisions.
People had access to other healthcare services, ensuring a holistic level of support was provided.
No one was receiving end of life care but if this were required, this would be facilitated alongside community healthcare professionals.
The registered manager and staff demonstrated a commitment to people and displayed strong person-centred values. People's choices were respected, and staff supported them to achieve good outcomes. Audit systems were in place to monitor the standard of support people received. Measures to assess improvements and continuous learning were in place.
The service worked in partnership with other health and social care organisations to achieve better outcomes for people using 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 06/08/2020 and this is their first inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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.