30 December 2022
During a routine inspection
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
About the service
Impressions Care House (known as Impressions Care) is a domiciliary care service providing personal care to 2 people at the time of the inspection. Rather than making short visits to people, staff are rostered to spend several hours with them at a time.
People’s experience of using this service and what we found
Right Support:
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 worked closely with healthcare professionals, especially GPs and district nurses, to provide care at the end of life for people who wished to die at home. Where people had chosen to discuss their preferences for end of life care, these were clearly documented.
Right Care:
People’s care was tailored to their needs. The service had received positive feedback from relatives and professionals about the standard of care.
People had small, regular teams of staff who got to know them well. Staff received the training and support they needed to be able to perform well in their roles. There were enough staff to cover people’s care. There were robust pre-employment checks that staff were suited to work in social care.
Staff treated people respectfully, upholding their privacy and dignity. Confidential information was kept secure.
Right Culture:
Staff respected and fostered people’s independence. Risks were managed in way that was tailored to the individual and reflected their preferences. Managers and staff worked closely with healthcare professionals to help ensure the best outcomes for people.
People’s communication needs were assessed and addressed in their care plans. We have made a recommendation about recording communication needs.
Relatives and staff found the management team to be approachable, compassionate and fair. The management team promoted an open, inclusive culture where people’s needs and wishes were the central focus. The registered manager and domiciliary care manager maintained a close overview of the service to assure themselves people were receiving support of a high standard.
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 9 June 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.
Recommendations
We have made a recommendation about recording people’s communication needs.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.