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Royal Mencap Society - Lincolnshire Domiciliary Care Agency Good

We are carrying out a review of quality at Royal Mencap Society - Lincolnshire Domiciliary Care Agency. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 18 February 2016

Royal Mencap Society – Lincolnshire Domiciliary Care Agency provides personal care and support for people in their own homes who have a learning disability or autistic spectrum disorder. The service can provide care for adults of all ages. At the time of our inspection the service was providing support for 60 people most of whom were younger adults. About one half of these people lived in properties that they shared with other people who also received assistance from the service. In this report we refer to the shared properties as being, ‘shared homes’. Most of the remaining people lived in properties for which they were the sole tenants. We refer to these sole tenancies as being, ‘private homes’. The service covered north Lincolnshire including Boston, Skegness, Market Rasen, Lincoln and Gainsborough.

There was 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.

Staff knew how to respond to any concerns that might arise so that people were kept safe from harm. People had been supported to promote their wellbeing, to reduce the risk of accidents and to safely manage medicines. There were enough staff to support people who lived in the shared homes and to visit people in their private homes. Background checks had been completed before new staff were appointed.

Staff had received training and guidance and they knew how to support people in the right way. This included being able to assist people to eat and drink enough in order to stay well. In addition, people had been supported to receive all of the healthcare assistance they needed.

The registered manager and staff were following the Mental Capacity Act 2005 (MCA). This measure is intended to ensure that people are supported to make decisions for themselves. When this is not possible the Act requires that decisions are taken in people’s best interests.

People were treated with kindness and compassion. Staff recognised people’s right to privacy, promoted their dignity and respected confidential information.

People had received all of the support they needed including people who had special communication needs or who could become distressed. People had been consulted about the support they wanted to receive and they had been given all of the assistance they needed. Staff had supported people to express their individuality including pursuing their interests and hobbies. There was a system for resolving complaints.

Regular quality checks had been completed to ensure that people received all of the support they needed and people had been consulted about the development of the service. Staff were supported to speak out if they had any concerns because the service was run in an open and relaxed way. People had benefited from staff receiving and acting upon good practice guidance.

Inspection areas

Safe

Good

Updated 18 February 2016

The service was safe.

Staff knew how to recognise and report any concerns in order to keep people safe from abuse.

People had been helped to stay safe by avoiding accidents and by managing medicines safely.

There were enough staff to provide people with the support they needed and background checks had been completed before new staff had been employed.

Effective

Good

Updated 18 February 2016

The service was effective.

Staff knew how to care for people in the right way and they had received all of the training and support they needed.

People had been supported to eat and drink enough and staff had helped to ensure that they had access to any healthcare services they needed.

The registered manager and staff were following the MCA.

Caring

Good

Updated 18 February 2016

The service was caring.

Staff were caring, kind and compassionate.

Staff recognised people’s right to privacy, promoted their dignity and ensured that confidential information was kept private.

Responsive

Good

Updated 18 February 2016

The service was responsive.

People had been consulted about the care they wanted to receive.

Staff had provided people with all the support they needed including people who had special communication needs or who could become distressed.

People had been supported to make choices about their lives including pursuing their interests and hobbies.

There were arrangements to quickly and fairly resolve complaints.

Well-led

Good

Updated 18 February 2016

The service was well-led.

Regular quality checks had been completed so that any problems could be quickly identified and resolved.

People had been invited to contribute to the development of the service.

The registered manager had promoted good team work and staff had been encouraged to speak out if they had any concerns.

People had benefited from staff receiving and acting upon good practice guidance.