You are here

Lincolnshire Domiciliary Care Branch Good

Inspection Summary


Overall summary & rating

Good

Updated 24 September 2019

About the service

Lincolnshire Domiciliary Care Branch is a domiciliary care agency. It provides personal care to 104 people living in their own homes. The service is registered to care for children between 13 and 18 years, younger and older adults, people with learning disabilities or autism, mental health and physical disabilities. Not everyone who used the service received personal care. The Care Quality Commission (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

We made a recommendation because some positive behaviour support plans and risk assessments were not up to date and did not include important information from other health and social care professionals. The service had been using high levels of agency staff, however permanent staff had been recruited and this was improving. Staff told us staffing levels were enough to meet the needs of people. Systems and processes were in place to ensure people were protected from abuse. Staff received regular safeguarding training and demonstrated they were knowledgeable about how to protect people from abuse.

Staff received regular training and told us the training provided them with the knowledge to do their jobs effectively. People were supported to eat and drink what they had chosen. People living in shared accommodation benefited from good person-centred support to purchase chosen ingredients and cook meals independently of their housemates. Staff worked well with colleagues across the organisation to ensure that people were getting good opportunities to socialise and engage in activities of their choice.

Staff sought consent from people before delivering care. Staff received training regarding the Mental Capacity Act (MCA) and were knowledgeable about the subject. 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 knew people well and were kind and compassionate. People told us they liked their support staff and that they were kind to them. Staff knowledge was good around privacy, dignity and independence. People were given the opportunity to express their views regularly and were involved in their own care.

People were receiving care and support which was responsive to their needs, however care plans were not consistent. Some care plans lacked the person-centred detail to ensure important information about 'how' to support people was included. Terminology used in some care plans was negative. Some recent care plans included better detail, but this needed to be embedded. The provider was aware of the need to standardise support planning and was planning to implement a nationally recognised electronic support planning system in the near future.

The management structure had recently changed which improved the support provided to the staff team. There was no registered manager in post at the time of the inspection, however, applications had been submitted for two registered managers at the location. Leadership in the service promoted a culture which was open and inclusive. Staff were consistently complimentary about the support they received fr

Inspection areas

Safe

Good

Updated 24 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 24 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 24 September 2019

The service was well-led.

Details are in our well-Led findings below.