Archived: One Step Domiciliary Care

One Step specialises in providing personal care and support for people who live with a learning disability, in their own home and when out in the community. At the time of the inspection there were 10 people receiving support with their personal care.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were all provided with an excellent person-centred service which was very responsive to their needs, wishes and preferences. Management and staff had an extremely positive impact on people's lives and went above and beyond to understand and respond to people's needs and preferences. When planning people’s care, staff supported people to express themselves. Staff also helped people to fulfil their wishes and aspirations.

People were supported by sufficient numbers of staff who were recruited following a robust recruitment process. People felt safe and staff were aware of how to keep people safe from avoidable harm. Staff reflected on errors to ensure they learned lessons from incidents. People received their medicines when the prescriber intended and they were protected from the risk of infection.

Staff felt supported by all levels of management and were able to develop their skills to meet the needs of people. Staff received appropriate training and could develop within their role. People’s nutritional needs were assessed and supported, and people were encouraged to make healthy meal choices. People were all able to see healthcare professionals when needed, and staff worked collaboratively and in partnership with other agencies.

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 told us staff were caring and sensitive to them and they had formed meaningful relationships with staff. People and their relatives told us they felt involved in reviews of their relatives care and were listened to. People’s dignity and equality was maintained.

There was strong sense of leadership in the service that was open and inclusive. People benefited from a robust professional management framework that helped care staff to understand their responsibilities so that risks and regulatory requirements were met.

Regular feedback from people who used the service, relatives, care staff and professionals were gathered through questionnaires, regular face to face meetings and at staff team meetings. People knew how to raise any concerns or complaints and their feedback was used to make improvements to the service. People were introduced to lay advocates if necessary. Regular quality assurance checks were in place to monitor the quality and safety of care that people received.

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 08/06/2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

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.