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Inspection Summary


Overall summary & rating

Good

Updated 29 December 2017

Kingston Domiciliary Care Agency (DCA) provides care and support for 15 people with learning disabilities, who live in their own homes in the boroughs of Kingston, Hillingdon and Greenwich. This service includes assistance with bathing, dressing, eating and medicines, shopping, meal preparation and household duties and support to access community activities. We only looked at the service for people receiving personal care during this inspection as this is the service that is regulated by CQC.

This inspection took place on 7 and 9 November 2017 and was announced. We told the provider one day before our visit that we would be coming. At the last Care Quality Commission (CQC) inspection in November 2015, the overall rating for this service was Good. At this inspection we found the service remained Good. The service demonstrated they continued to meet the regulations and fundamental standards

The service did not currently have a registered manager. The previous registered manager left at the end of August 2017 and a new manager had been appointed but was not yet in post. During this interim period the deputy manager and the providers’ operations manager were managing the day to day running of the service.

People remained safe in their homes. Staff could explain to us how to keep people safe from abuse and neglect. People had suitable risk assessments in place. The provider managed risks associated with people’s homes, to help keep people and staff safe. Recruitment practices remained safe. Medicines continued to be administered safely. The checks we made confirmed that people were receiving their medicines as prescribed by staff qualified to administer medicines.

People continued to be supported by staff who received appropriate training and support. Staff had the skills, experience and a good understanding of how to meet people’s needs. Staff told us they encouraged people to make their own decisions and gave them the time and support to do so. Staff were providing support in line with the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their needs. When required staff supported people to access a range of healthcare professionals.

Relatives and local authority quality assurance reports stated staff were caring, kind and efficient and staff respected people’s privacy and treated them with dignity.

People’s needs were assessed before they started to use the service and support was planned and delivered in response to their needs. The provider had arrangements in place to respond appropriately to people’s concerns and complaints.

People were supported to access the community and activities of their choice.

Staff we spoke with described the management as very open, approachable, positive and easy to get on with. Systems were in place to monitor and improve the quality of the service. The provider had effective quality assurance systems to monitor the scheme’s processes. These systems continue to help ensure people received the care they needed as detailed in their support plans.

Inspection areas

Safe

Good

Updated 29 December 2017

The service remains Good

Effective

Good

Updated 29 December 2017

The service remains Good

Caring

Good

Updated 29 December 2017

The service remains Good

Responsive

Good

Updated 29 December 2017

The service remains Good

Well-led

Good

Updated 29 December 2017

The service remains Good