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Archived: Making Space Domiciliary Care and Outreach Service Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 22 April 2016

This announced inspection took place on 11 & 16 March 2016.

Making Space Domiciliary Care and Outreach Service is a domiciliary care agency which provides supported living and outreach services to people living with a mental health condition in Lancaster and Morecambe. There were six people who used the service at the time of inspection.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was first registered with the Care Quality Commission in July 2015. Due to flooding there was a change to the registered location in December 2015. This was the first inspection of the registered provider since registration. We identified no concerns at this inspection and found the provider was meeting all standards we assessed.

Feedback from people who used the service was positive. People spoke highly about the quality of service provision on offer. Staffing levels were conducive to meet people’s needs. We observed staff being patient with people and meeting their needs in a responsive manner.

Arrangements were in place to protect people from risk of abuse. People told us they felt safe and secure. Staff had a sound knowledge of safeguarding procedures and were aware of their responsibilities for reporting any concerns.

Recruitment procedures were in place to ensure staff were correctly vetted before commencing employment. Staff retention was good and people said they benefited from staff who knew them well.

Suitable arrangements were in place for managing and administering medicines. People were encouraged to self-administer medicines where appropriate. Risks of self-administration were managed.

People’s healthcare needs were monitored and referrals were made to health professionals in a timely manner when health needs changed. Systems were in place to monitor and manage risk.

Detailed care plans were in place for people who used the service. Care plans covered support needs and personal wishes. Plans were reviewed and updated at regular intervals and information was sought from appropriate professionals as and when required.

People said they were supported at appropriate times to meet their nutritional needs. Strategies were in place to promote healthy eating where appropriate.

The registered manager had implemented a range of quality assurance systems to monitor quality and effectiveness of the service provided.

Information regarding accidents and incidents was monitored by head office so trends and themes could be identified and processes put in place to minimise risk. External consultants were commissioned to promote health and safety.

The registered provider worked innovatively to encourage people to live active lives within their community.

Staff were positive about ways in which the service was managed. Staff spoke highly about levels of training on offer and support from management. Staff described teamwork as “Good.”

Inspection areas

Safe

Good

Updated 22 April 2016

The service was safe.

People who used the service told us they felt safe.

Processes were in place to protect people from abuse. The provider had robust recruitment procedures in place and staff were aware of their responsibilities in responding to abuse.

Suitable arrangements were in place for management of all medicines.

The registered manager ensured there were appropriate numbers of suitably qualified staff on duty to meet the needs of people who used the service.

Effective

Good

Updated 22 April 2016

The service was effective.

People’s needs were monitored and advice was sought from other health professionals in a timely manner, where appropriate. People who used the service told us their nutritional and health needs were met.

Staff had access to on-going training to meet the individual needs of people they supported.

Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and the relevance to their work.

Caring

Good

Updated 22 April 2016

Staff were caring.

People who used the service were positive about the staff who worked for Making Space Domiciliary Care and Outreach Service.

Staff had a good understanding of each person in order to deliver person centred care. People’s preferences, likes and dislikes had been discussed so staff could deliver personalised care.

Staff treated people with patience, warmth and compassion and respected people’s rights to privacy, dignity and independence.

Responsive

Good

Updated 22 April 2016

The service was responsive.

Records showed people were involved in making decisions about what was important to them. People’s care needs were kept under review and staff responded quickly when people’s needs changed.

The management and staff team worked very closely with people and their families to act on any comments straight away before they became a concern or complaint.

The registered provider encouraged people to become active members of their community. For people who felt uncomfortable within the community the registered provider had started working with other groups to develop innovative ways of working.

Well-led

Good

Updated 22 April 2016

The service was well led.

The registered manager and team leader had good working relationships with the staff team. All staff commended the skills of management.

Regular communication took place between management, staff and people who used the service as a means to improve service delivery.