About the service Royton Limited is a domiciliary care agency. They provide personal care to people and children living in their own homes. 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. At the time of the inspection 3 people were receiving personal care.
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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
People’s experience of using this service and what we found
Right Support
Medicine administration records required improvement. Staff used different and incorrect codes to record when medicines were given by a relative and as required medicines did not always have the information required to ensure it was given as prescribed.
Staff recruitment procedures needed to be embedded to ensure all staff had the correct checks to work with vulnerable people and children.
People were protected from potential abuse. Staff received training and understood the signs and symptoms to be aware of. Records were completed if an injury was identified.
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.
Right Care:
People were supported by staff who knew them well and had the skills and knowledge to support them safely. Staff arrived on time and stayed the allocated amount of time. People had a consistent staff team.
Staff wore appropriate personal protective equipment to protect people from risks of infections.
Care plans held person-centred information within them to ensure staff had the information to support people in line with their assessed needs and individual wishes.
People’s health needs were assessed. Referrals were made as appropriate to healthcare professionals. People were supported with oral care.
Right Culture:
Systems and processes to ensure good management oversight required embedding into practice. The registered manager was open and transparent throughout the inspection and implemented changes based on feedback.
People and relatives described staff as “lovely, kind, caring, amazing.” Staff were committed to offering good quality, personalised care. Relatives told us staff always treated people with dignity and respect.
People’s communication needs were recorded and detailed. This supported staff to communicate effectivity with people.
Staff felt supported in their roles. People, relatives and staff were asked to feedback on 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 29 October 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.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.