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Dorset Domiciliary Care Agency Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 12 April 2019

During a routine inspection

About the service:

Dorset domiciliary care agency provides personal care to adults with a learning disability in their own homes. The service provides personal care and support for 40 people across seven supported living houses and individual homes.

People’s experience of using this service:

People and their relatives told us they felt safe with the service they received from Dorset Domiciliary Care Agency. The staff demonstrated a good understanding of how to meet people’s individual needs. People’s outcomes were known, and staff worked with people to help achieve these. People were supported and encouraged to maintain their independence and live their lives as fully as possible.

People were supported to maintain contact with those important to them including friends, family and their community. Staff understood the importance of these contacts for people’s health and well-being. Staff knew people well and what made them individuals.

The management of the service were respected. Staff had a good understanding of their roles and responsibilities and were supported to reflect on their practice and pursue learning opportunities. The staff team worked and got on well together demonstrating team work and flexibility.

Quality and safety checks helped ensure people were safe and protected from harm. This meant the service could continually improve. Audits helped identify areas for improvement and this learning was shared with staff.

The service met the values that underpin the 'Registering the Right Support' and other best practice guidance such as 'Building the Right Support'. These values include choice, promotion of independence and inclusion. Also, how people with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service met the characteristics of good in all areas; more information is in the full report

Rating at last inspection:

At the last inspection the service was rated good (13 October 2016).

Why we inspected:

This inspection was scheduled based on the previous rating.

Follow up:

We will continue to monitor intelligence we receive about the home until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection carried out on 19 September 2016

During a routine inspection

The inspection took place on 19 and 20 September 2016 and was announced. The service provides supported living and an outreach service to adults with a learning disability. The outreach service is provided by the same staff team and management as the supported living service. At the time of our inspection 26 people were using the service.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff had received training and understood how to recognise signs of abuse and the actions they would need to take if they suspected abuse had happened.

When a risk had been identified actions had been put into place to minimise the risk in the least restrictive way, this had been regularly reviewed. People had been involved in decisions about their risks and their freedom and choices had been respected.

People were being supported by enough staff to meet their assessed needs. Staff had been recruited safely. This had included a criminal check being completed and two references being obtained to verify employment history.

People had their medicine stored, ordered and administered safely. Staff completed medicine administration training and staff training records showed us that their competencies had been checked.

People were supported by staff that had completed an induction and on-going training, including training specific to peoples individual health needs. This enabled them to carry out their roles effectively. Staff told us they felt supported in their roles. Staff had regular supervision, an annual appraisal and opportunities for personal development.

Staff understood the need to obtain people’s consent before providing support. When people had been assessed as not having the capacity to make certain decisions a best interest decision had been made in line with the Mental Capacity Act.

People were supported by staff who knew their eating and drinking requirements. When risks had been identified the appropriate actions had been taken. People had access to healthcare services. We saw that this had included GPs, opticians, dentist, psychiatrists and the community learning disability team.

People and their families described the staff as caring. We observed people enjoying a relaxed and friendly relationship with staff, laughing and enjoying time together. Staff had a good understanding of people’s interests, likes and dislikes and were having conversations with people about things that were important and of interest to them. Different methods were used to support people communicate their choices and wishes. People and their families were involved in decisions and advocacy services were available to people if they wanted independent support with decisions. Staff respected people’s right to privacy and dignity and supported people to be as independent as possible.

People had individual support plans that provided information about the person and how they needed to be supported. Support plans were regularly reviewed. People’s changing needs were recognised and responded to appropriately. People enjoyed a wide range of activities both in their home and in the wider community which reflected their likes and interests. Staff supported people to maintain links with their families and friends. .

A complaints process was in place and people and families felt if they used it they would be listened too. Any concerns raised had been appropriately addressed by the registered manager.

Staff spoke enthusiastically and held positive views about the organisation, management in the supported living homes and the wider local management of the service. Staff meetings were held at several le