We carried out a review of the data available to us about Walker&Harrison 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 Walker&Harrison Care, you can give feedback on this service.
Walker and Harrison Care is a domiciliary care service providing personal care to adults living with a learning disability, physical disability, mental health condition and dementia. At the time of our inspection there were 21 people using the service. 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
People were extremely positive about their care. One relative said, “These staff are brilliant. I hear [person] clearly enjoying their company. Their whole approach is one of seeing [person] for who they are.” People said they felt safe during their care calls. Recruitment processes needed to be further improved and we made a recommendation about this.
People were supported with their healthcare needs by staff who knew them well. People were encouraged to make their own decisions and staff understood the procedures for supporting people who lacked capacity. Staff needed more consistent support to carry out their roles; we made a recommendation about this.
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.
Staff were kind, caring and compassionate. Staff went the extra mile for people which led to positive outcomes in their care. One relative said, “All that I see is good, safe care. They [staff] stay longer than the planned time. They won’t leave a situation where [person] would feel a loss of dignity or control.”
People received care which met their individual needs, wishes and preferences. They were encouraged to make their own decisions. Some people were supported with social contact. Staff ensured people had access to information in an appropriate format and talked through information when needed. The service went above and beyond to deliver end of life care.
The management team were visible and responded to concerns quickly. Leaders were transparent. The values of the service reflected in the quality of care provided. Further improvements were needed to oversee governance arrangements. There were gaps in all audits reviewed. They needed to be widened in scope and further embedded to support continual improvement of the service.
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.
Right support: People received care and support which met their individual needs. People were encouraged to have a voice and make decisions about their care. People were supported to maintain relationships with those important to them.
Right care: People were at the centre of their care and received person-centred care which respected their privacy and dignity and allowed them maximum control over their lives.
Right culture: A diverse workforce was in place who demonstrated the ethos, values and behaviours to support the delivery of good care to people. The provider’s diversity strategy was embedded and was used to contribute to the continual development of 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 and update
This service was registered with us on 10 October 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date the service was registered.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.