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Inspection Summary


Overall summary & rating

Good

Updated 7 July 2017

This inspection took place on 22 May 2017 and was announced.

Support Asia is a domiciliary care service registered to provide personal care to people within their own homes. At the time of the inspection the service was providing support and personal care to 30 people who were living in their own homes or within 'supported living' facilities within the community. Supported living enables people who need personal or social support to live in their own home supported by care staff as an alternative to living in a care home or with family.

The service had a registered manager. 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.

At our last inspection of this service in April 2016 we found the provider was meeting the regulations of the Health and Social Care Act 2008. However we did identify some areas that required improvement in relation to the service not working in accordance with the principles of the Mental Capacity Act (2005) and staff had not received training in relation to this legislation. Care plans needed more detailed information about people’s needs, and systems were not in place to review the care records completed by staff.

On this inspection we found the provider had made all of the required improvements since our last inspection. However we found that some of the audits the provider had introduced needed to be more effective in order to identify shortfalls with the records that were returned to the office. We also found the provider had not displayed their quality rating in the public area of the office on our arrival. The provider did take action to address this at the time of our visit.

People were supported by sufficient numbers of staff who had undergone recruitment checks to ensure they were safe to work. Staff understood how to report concerns on abuse and manage risks to keep people safe. People were supported with their medication by staff who had received training in how to do this.

Staff had access to training and supervision to support them in their role. Staff understood the importance of seeking consent in line with Mental Capacity Act 2005 and knew how to support people to make their own decisions. Staff monitored the health and wellbeing of people and knew the action to take if someone became unwell.

People and relatives described staff as kind and caring, and confirmed staff treated people with dignity and respect. People were involved in the planning and review of their care. People felt supported by staff who knew them well. People and relatives knew how to make a complaint if needed.

People, relatives and staff spoke positively about the registered manager and the leadership of the service. People and relatives made positive comments about the service they received.

Inspection areas

Safe

Good

Updated 7 July 2017

The service was safe.

People felt safe when being supported by staff who knew how to identify and act on concerns of abuse.

Recruitment checks were in place to ensure people were supported by suitable staff.

People were supported with their medication by staff who had received training in this area.

Effective

Good

Updated 7 July 2017

The service was effective.

Staff received training and support to enable them to fulfil their role.

People’s consent was sought before their care was provided.

People were supported with their meals where required and their healthcare needs were monitored.

Caring

Good

Updated 7 July 2017

The service was caring.

People were supported by staff who involved them in their care and treated them with respect and dignity.

Systems were in place to support people to access advocacy services where required.

Responsive

Good

Updated 7 July 2017

The service was responsive.

People and their relatives were involved in the planning and review of their care.

Staff were knowledgeable about people’s needs.

There was a complaints procedure in place.

Well-led

Requires improvement

Updated 7 July 2017

The service was not always well-led.

Systems were in place to monitor the quality, and safety of the service provided but these were not always effective in identifying shortfalls.

Staff told us they were supported by the registered manager who promoted an open and transparent service.

People and staff were encouraged to share their views about using this service.