4 September 2019
During a routine inspection
Voyage Specialist Healthcare is a domiciliary care service which provides personal and nursing care to children and adults with complex physical health needs living in their own homes. At the time of this inspection 45 people were using the service, all of whom received personal care.
People’s experience of using this service and what we found
People told us they felt safe. Staff understood their responsibilities about keeping people safe. Risks were identified and managed well. Incidents and accidents were monitored to inform practice and make improvements to the service. Staff had completed training in how to prevent the spread of infection whilst working in people's homes. Staff had completed training in medicines and their competence to administer medicines was checked regularly. Medicine administration records had been completed accurately.
Staff had completed training in key areas and were supported to carry out their roles. Most people and relatives had confidence in staff and were content with the care they received. Staff supported people to access health services if needed. Dietary needs were assessed and, where required, people received support with their meals. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People and relatives told us staff were kind and caring. Staff supported people to remain independent. Staff promoted people’s dignity and respected their privacy.
People's care plans were up to date about their individual needs and preferences. Most people received support that met their needs. Where there were difficulties covering people’s calls, largely due to recruitment and training, plans were in place to address this.
The registered manager had a clear vision about the quality of care they wanted to provide. Staff were aware of their roles and responsibilities. There were a number of effective quality assurance systems in place. There was a focus on continuous improvement.
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 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.