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Mitchells Domicillary Care Services Good

Inspection Summary


Overall summary & rating

Good

Updated 16 January 2020

About the service

Mitchells Domiciliary Care Services is a supported living service providing personal care for people with a learning disability, autistic spectrum disorder or physical disability. At the time of this inspection the service was supporting 25 people across nine properties. 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

Staff understood their safeguarding responsibilities and were confident if they raised concerns these would be fully acted upon. People told us they felt safe. Risks had been assessed and detailed plans to minimise these put in place. Staff told us they supported the same people to maintain consistency and did not feel rushed when providing care.

People received exceptional personalised care which met their needs and wishes. Care plans contained detailed information about how people wished to be supported. People were encouraged to set and achieve goals and fulfil their potential. Staff had received an outstanding award in June 2019 from a charity specialising in ketogenic dietary therapies. Staff had attended a course so they could learn more and understand the Keto diet to better support a person.

People were supported by caring and compassionate staff that sought to understand people’s backgrounds, current situations and future goals to ensure they delivered meaningful care.

Care plans demonstrated consideration for people’s culture and the differences in which people chose to live their lives.

Health action plans recorded good detail about people’s medical history, ongoing health and how they took responsibility over their own health care needs.

The agency was well led by the registered manager and their deputies who led by example. The provider promoted a positive and supportive culture that was person-centred, inclusive and empowering. Quality monitoring systems ensured that the care provided was reviewed regularly and improvements made where required.

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.

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 5 July 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 16 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 16 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 16 January 2020

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 16 January 2020

The service was well-led.

Details are in our well-Led findings below.