We carried out a review of the data available to us about Perspecktive Limited 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 Perspecktive Limited, you can give feedback on this service.
Perspecktive Limited is a domiciliary care agency providing personal care to five people in their own homes at the time of the inspection.
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.
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
People and relatives were happy with the care and support they received and spoke positively about staff. People's needs and wishes were met by staff who knew them well and enjoyed working with them.
Appropriate recruitment checks took place before staff started work and there were enough staff available to meet people's care and support needs. Staff received comprehensive training to enable them to carry out their roles effectively.
Staff were happy working for the service and felt supported by the registered manager and senior management team.
Care records contained clear information covering all aspects of people's individualised care and support. Risk assessments were comprehensive and information about people was written in a respectful and personalised way.
People and their relatives were involved in the planning and delivery of their care and asked for feedback which was acted upon when appropriate. Staff were encouraged to be actively involved in service development.
Staff at the service worked with health and social care professionals to ensure good outcomes for people.
The service had established links in the local community and had worked in partnership with key organisations including local authorities and other agencies providing social care services to improve the service for people.
There were systems in place to monitor and improve the quality of the service. When there were problems, the registered manager dealt with them effectively and worked to reduce the likelihood of recurrence.
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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 17 September 2016).
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.
We visited the offices of Perspecktive Ltd on 22 August 2016. We told the provider 48 hours before the visit we were coming so they could arrange to be there and for staff to be available to talk with us about the service.
There was a registered manager in post. 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.
People were at the heart of the service. The provider’s philosophy and values were understood and shared by all the staff team. People’s right to lead a fulfilling life was promoted and encouraged by all staff. People were supported to live their lives as they chose.
Relatives were confident their family member was safe and well looked after by the service. Staff understood how to protect people from abuse and keep people safe. Staff knew the risks associated with people’s care, and there were clear instructions in support plans for staff to follow to manage risks safely.
Checks were carried out prior to care staff starting work to ensure their suitability to work with people who used the service. There was a safe procedure for managing medicines and people received their medicines as prescribed.
The management team were committed to providing a person centred service that valued people’s individual experiences and abilities. Staff shared these values and felt supported to do their work. People, their relatives and staff were encouraged to share their opinions about the service. The managers provided good leadership and regularly reviewed the quality of service provided and how this could be improved.
There were enough staff to deliver the support people required and people received care from consistent staff who they knew well. Staff received training to support them to meet people’s needs effectively and had the right skills to provide the care and support people required.
People were involved in planning their care with the support of people important to them. Care plans focused on people's individual needs, abilities and preferences and how they would like their care delivered. People’s rights, privacy and dignity were respected.
The managers understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) in regards to people’s decision making. However assessments did not always include people’s ability to make decisions or who made decisions on people’s behalf, if they were unable to do this themselves. Some people required 24 hour supervision, where this was a restriction on people’s freedom authorisations had not been applied for.
Care plans contained relevant information for staff to help them provide the personalised care people required. Relatives knew how to complain and information about making a complaint was available to them. Staff said they could raise any concerns or issues with the management team, knowing they would be listened to and acted on.
The management team provided good leadership and relatives who used the service found them approachable and effective. Staff said they received excellent support from the management team. People who used the service, their relatives and staff were encouraged to share their opinions and the provider used their views to improve the service. The management team were committed to providing a high quality service to people.
There were systems to monitor and review the quality of the service provided. This included, a series of audits and checks by the management team, regular checks of people’s care plans, medicines administration and supervision of staff, including observations of how they put their learning into practice.