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D & H Community Support Ltd Good

Inspection Summary

Overall summary & rating


Updated 1 August 2019

D&H Community Support Ltd is a domiciliary care agency providing personal care to older and younger adults, living with physical disability, mental health conditions, learning disabilities and autistic spectrum disorder, dementia and sensory impairment. People are supported in their own houses. At the time of our inspection there were three people using the service.

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

We have made a recommendation about the provider seeking further guidance on supporting people with their end of life preferences.

People were safe. Risk assessments were in place and reviewed regularly to ensure safe care continued. Staff were trained and could recognise signs of abuse and knew how to report it. Safe recruitment procedures meant that suitable staff were employed. Medicines were managed safely. Staff used Protective personal equipment (PPE) to prevent the spread of infection this included disposable gloves, and aprons.

People’s choices, lifestyle, religion and culture as well as their personal and health care needs were all included in the care planning process. People were supported with accessing health care services when they needed, and the service worked in partnership with healthcare professionals. A training program meant people could be assured staff had the knowledge, skills and confidence to do their job.

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.

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 to gain new skills and become more independent.

People’s needs were met by good planning and coordination of care. Pre-admission assessments meant the service was confident it had the right staff available to support people prior to care starting. Regular reviews of care meant the service could respond to changes in people’s needs promptly. A complaints procedure was in place and was given to people in a format that met their communication needs.

The provider, management team and staff had developed an open and honest culture, people and staff found them friendly and supportive. The registered manager had good oversight of the service from the quality monitoring processes. Learning and skill development was actively encouraged, and staff felt confident in their role. The registered manager worked in partnership with other professionals to strive for good outcomes for people who used the service.

Rating at last inspection

The last rating for this service was good (published 19 August 2016)

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.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 1 August 2019

The service was safe.

Details are in our safe findings below.



Updated 1 August 2019

The service was effective.

Details are in our effective findings below.



Updated 1 August 2019

The service was caring.

Details are in our caring findings below.



Updated 1 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 1 August 2019

The service was well-led.

Details are in our well-led findings below.