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Inspection Summary


Overall summary & rating

Outstanding

Updated 8 February 2020

About the service

QRC Dom Care is registered to provide personal care for adults, some of who may be living with a learning disability or other complex conditions such as autism spectrum disorder. People supported by this service either live in their own homes, or in shared accommodation with others. 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. At the time of the inspection there were 25 people being supported with their personal care delivered from several supported living sites.

People’s experience of using this service and what we found

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.

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.

The service was exceptional in encouraging people to live as full a life as possible and supported them to achieve the best possible outcomes. People's confidence, independence and wellbeing had improved since they began using the service. Several relatives told us being supported by the service had been lifechanging for their loved one.

Staff were passionate about ensuring people had access to a wide range of personalised and group activities and were supported to have a say in all aspects of how the service was delivered. People were supported to have as many opportunities as possible, and staff were dedicated to supporting people gain new skills and live more independently.

People received personalised care that was exceptionally responsive to their needs. People were genuinely encouraged to express their hopes and dreams and the service looked for innovative ways to make these a reality. Staff knew people especially well and used this knowledge and support them to achieve their goals. People's achievements were recognised and celebrated.

Staff had formed genuine, positive and warm relationships with the people they supported and looked for ways to make them feel valued. Staff were creative and looked for inclusive ways to ensure all people's views were sought out and acted upon.

The service was exceptionally dedicated to making sure people were enabled to maintain relationships with those who mattered to them. Their relatives described staff as wonderful and amazing and professionals described the staff as knowing people especially well, and the management as being experienced, knowledgeable, very responsive and compassionate.

People's health and wellbeing was closely monitored to ensure they received timely and appropriate treatment.

People were supported by staff who had been recruited using safe and robust processes, and who had comprehensive knowledge and were supported to develop their skills to fully meet people’s needs. There were enough staff to meet people's needs in an inclusive way.

People were supported by a consistent staff team who were aware of the risks to people and knew how to manage these safely. People were supported to take positive risks to promote their independence.

Staff were aware of safeguarding procedures and knew the correct action to take if they suspected abuse had occurred. Medicines were administered, stored and disposed of safely and people were supporte

Inspection areas

Safe

Good

Updated 8 February 2020

The service was Safe.

Details are in our Safe findings below.

Effective

Good

Updated 8 February 2020

The service was Effective.

Details are in our Effective findings below.

Caring

Outstanding

Updated 8 February 2020

The service was exceptionally Caring.

Details are in our Caring findings below.

Responsive

Outstanding

Updated 8 February 2020

The service was exceptionally Responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 8 February 2020

The service was Well-Led.

Details are in our Well-Led findings below.