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HF Trust - Cheshire DCA Good

Inspection Summary


Overall summary & rating

Good

Updated 14 January 2020

About the service

HF Trust - Cheshire DCA is a domiciliary care service providing support to 56 people who have a learning disability and/or autism at the time of the inspection. Not everyone who used the service received personal care. 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

People were supported by small, consistent staff teams who knew people well. There had been changes in recent months to the rostering system which had resulted in new staff being recruited. This meant some relatives felt there were not always enough regular staff. Records showed however that the hours people were funded for were being provided, and the management team were committed to ensuring consistent care to people receiving support.

The service was well led. There had been a number of changes in the last year to the management arrangements for the entire service which was commented on by some relatives, however most spoke positively about the new arrangements and staff felt engaged and well supported by an open and honest culture.

Systems were in place to manage risks to people’s health and wellbeing and medicines were managed safely. Staff and the management team worked closely with other professionals and organisations to ensure positive outcomes for people.

People received a caring service and felt supported and valued as individuals. People spoke very positively about staff. They and their relatives told us they were treated with respect and staff upheld their dignity.

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. People were involved in developing their care plans which were person centred and changes were made as people’s needs changed.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

People were supported through technology where appropriate to ensure their communication needs were met and staff supported people to access a wide range of activities which enabled them to pursue their social and leisure interests.

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 26 June 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.

Inspection areas

Safe

Good

Updated 14 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 January 2020

The service was well-led.

Details are in our well-led findings below.