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Mencap Derbyshire and Derby City Domiciliary Care Agency Good

Inspection Summary


Overall summary & rating

Good

Updated 10 May 2019

About the service:

Mencap Derbyshire and Derby City Domiciliary Care Agency is a domiciliary care agency that provides personal care to adults with a learning disability living in their own homes. Some people lived alone and others with other people that were also receiving a service from Mencap Derbyshire and Derby City Domiciliary Care Agency. Some people received support from staff at various times of the day and others over a full 24-hour period. Not everyone using the service received a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection 24 people were provided with the regulated activity of personal care.

People’s experience of using this service:

The service met the characteristics of ‘Good’. Staff understood their responsibilities to safeguard people and report any concerns. People received support to take their medicines safely. Recruitment checks determined the suitability of new staff to protect people that used the service. The risk of people acquiring an infection, was minimised as infection control procedures were in place and followed. Support plans were in place to promote positive behaviours and safeguard people from injury when they became anxious.

People received the support they needed as sufficient staff were available to support them to do what they wanted to do. The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; People were supported to take reasonable risks which enabled them with opportunities to lead a full life. People spent their day as they preferred and were supported to take part in social activities of their choice to enhance their well-being.

Staff understood the support people needed to make decisions when they were unable to make specific decisions independently. Mental capacity assessments and best interest decisions were undertaken where people needed support to make specific decisions. This demonstrated that people’s rights were upheld and they were supported in the least restrictive way possible.

People were supported as needed, to ensure their preferences and dietary needs were met. Healthcare services were accessible to people with staff support as needed, and people received coordinated support, to ensure their preferences and needs were met.

Information was available in an accessible format to support people’s understanding. People maintained relationships with their family and friends and were encouraged to give their views about the service. This included raising any concerns they had. People and their representatives were involved in their care to enable them to receive support in their preferred way.

There were systems in place to monitor the quality of the service and these were used effectively to enable the provider and registered manager to drive improvement.

Rating at last inspection: Good (report published 11/01/2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we found the service remained Good.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 10 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 10 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 10 May 2019

The service was caring

Details are in our Caring findings below

Responsive

Good

Updated 10 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 10 May 2019

The service was well-led

Details are in our Well-Led findings below.