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Mencap - Dorset Support Service

Overall: Good read more about inspection ratings

Romany Works Business Park, Wareham Road, Holton Heath, Poole, BH16 6JL

Provided and run by:
Royal Mencap Society

All Inspections

During an assessment under our new approach

About the service

 

Mencap Dorset Support Service supports 2 different Assessment Service Groups (ASGs). The location is registered to support people with homecare and supported living. This report reflects our assessment of the supported living only. At the time of our assessment there were 3 people receiving the regulated activity of personal care.

 

Who the service is for

 

This is a specialist service for younger adults, older adults with learning disabilities. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence, and good access to local communities that most people take for granted.

 

Key findings

We carried out this assessment on 20 July 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

 

People were supported by enough safely recruited staff who had the skills and knowledge to provide effective support. Staff consistently spoke positively about the training and support available to them, with one saying, “We do a mix of in person and online training and competency checks. It’s very good and detailed.” Another staff member described their induction as “exceptional” and said, “Mencap’s training was a revelation.”

 

People received their medicines when they needed them and staff told us they had been supported to improve their confidence and knowledge in this area. We observed staff supporting people safely with a person-centred approach that was consistent with information in people’s support plans, which people and their relatives also confirmed.

 

Medicines were administered safely, with clear protocols in place to guide staff on when to administer ‘as required’ medicines. Regular medication audits were completed and identified areas where improvements could be made.

 

Care plans were developed with people and, where appropriate, their families, and contained relevant information about their care, support needs and interests. This helped ensure people were supported according to their individual needs by staff who were caring, compassionate and familiar to them.

 

People were supported by a consistent key worker who knew them well and understood their individual needs, preferences and goals. This helped to build trusting relationships and ensured people received personalised support that reflected what was important to them.

 

Staff understood their responsibilities to safeguard people from abuse and were knowledgeable about what concerns to report and who to report them to. Risk assessments were in place to support people safely with their health conditions, and the service manager reviewed support plans to ensure they contained relevant information to manage and mitigate risks.

 

Relatives told us people were supported effectively to manage health risks and maintain their wellbeing. Staff used guidance within care records to provide safe and consistent support.

 

The culture of the service was focused on maximising people’s independence and enabling them to live full and meaningful lives. People were offered choice and control over their daily lives, including the activities they took part in, the people they spent time with and how they received their care and support.

 

People were treated with dignity and respect, and staff listened to and acted upon their wishes and preferences. The management team and staff took pride in supporting people to be as independent as possible and to live life to the fullest. One staff member said, “I encourage people to keep doing things that they are able to do independently.”

 

The service worked within the principles of the Mental Capacity Act 2005 (MCA). Where people were deprived of their liberty, appropriate Deprivation of Liberty Safeguards (DoLS) authorisations had been applied for and were kept under review. People were not subject to unlawful or unnecessary restrictions and were supported to have choice, control and freedom in their daily lives wherever possible.

 

Care staff consistently demonstrated compassionate and person-centred care. One staff member explained, “They are all different personalities with different capabilities and needs and are treated as unique.” Staff actively looked for ways to improve people’s lives and help them achieve positive outcomes.

 

The service worked effectively with healthcare professionals and other agencies to ensure people’s needs were met. Information was shared appropriately and health concerns were escalated when required. Staff told us, “We always involve the GP when there is any health concern for the people we support.”

 

The provider’s vision was embedded across the staff team through regular meetings and appraisals. These focused on delivering high-quality care and treating each person as an individual, ensuring they felt valued, respected and listened to.

 

The registered manager was described as supportive and approachable and promoted an open culture. Staff felt comfortable raising concerns and were confident these would be addressed appropriately. One staff member told us, “I feel supported by my colleagues, and by my manager who is always available to talk about anything happening in the service.”

 

There was an effective management structure that provided accountability and support throughout the service. People and their families spoke highly of the leadership, and we saw evidence of learning, development and a commitment to continually improving the quality of person-centred care provided. Staff spoke positively about the culture of the service, with one saying, “The well-being and happiness of the people we support is really at the heart of what we do.” Another staff member told us, “The current team is excellent, and the management is very good.”

16 January 2020

During a routine inspection

About the service

Mencap Dorset Support Service is a supported living service. The agency specialises in providing personal care and support for people with a learning disability or mental health condition living in the community. The service was currently supporting eight people receiving a regulated activity of personal care.

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. At the time of the inspection the agency was providing support with personal care to eight people.

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

People told us they felt safe, happy and well cared for by Mencap Dorset Support Service. Relatives spoke positively about the care their family members received and the difference it had made to their lives. Staff knew what signs and symptoms could indicate people are experiencing harm or abuse. Staff felt confident management would listen and act if they raised concerns.

The service had robust recruitment processes to ensure people were supported by staff with the necessary skills, experience and character. There were enough staff to keep people safe and meet their individual needs. Staff had a good understanding of people’s individual risks and how they could work with them to minimise the risks.

People were supported by staff who had received mandatory and specialist training to help them meet their diverse and changing needs. Staff said the training was good. Staff competency was monitored on an ongoing basis through formal observations, supervision and performance appraisals.

People’s support needs, abilities and desired outcomes were identified, assessed and monitored in personalised care plans. People’s needs were reviewed with their involvement. When required, staff ensured people had timely access to healthcare services in order to maintain their health and wellbeing. This included GPs, physiotherapists, diabetic nurses and dentists. Relatives told us they were listened to and involved.

The service consistently applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. One person told us, “You can choose what you wear, who you go out with, you’re not restricted here.”

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. Staff demonstrated a good understanding of the principles of the Mental Capacity Act 2005 (MCA 2005) and how it applied to the people there. This provides protection for people who do not have capacity to make decisions for themselves. Staff consistently sought people’s consent before offering to support them with their daily lives.

Staff treated people with respect and kindness. Interactions were warm, natural and punctuated with appropriate humour. Staff had been given time to get to know people well including how they wished to spend their time, who they wanted to spend time with and their preferred means of communication. People’s right to privacy and dignity was respected at all times.

People were encouraged and supported to maintain relationships with relatives and friends and be active participants in their local community. People were encouraged and supported to engage in meaningful activities that matched their tastes and abilities. This enabled people to lead full and active lives. Activities included supported holidays abroad, gardening, quiet time, day services, volunteering, painting and attending sporting events.

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. Staff had created opportunities for people to maximise their independence and life skills. This had enabled people to develop their confidence and embrace new challenges.

Staff told us they enjoyed their jobs and felt supported by their colleagues and the management. One staff member expressed, “The other staff are great to work with. They all really care about the people.” Quarterly engagement days were held to give staff an opportunity to speak with area and regional managers and share their views about the service.

A range of audits and checks helped ensure service quality was maintained and areas for improvement identified. In addition, annual surveys and reflective events were undertaken to determine what the service was doing well and where it could make improvements. Feedback was analysed and used to create service action plans.

Staff felt recognised and praised. The registered manager said, “I’m proud of my staff team and the work we do, [and also] the adaptability and flexibility of the staff and managers.” Equality and diversity was actively considered for people and staff. Reasonable adjustments had been made to support staff with health conditions, family and study commitments. This was helping to ensure retention of staff and consistency of care for people supported by the service.

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 10 February 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.

8 December 2016

During a routine inspection

This inspection was announced and took place on 8 December 2016. The provider was given 48 hours’ notice of inspection to ensure the registered manager would be available to meet us at the provider’s office and also to make arrangements for us to visit some of the people in their own homes.

The was a registered manager, however the registered manager was unavailable on the day of this inspection. The inspection was supported by a service 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.

Mencap Dorset Support Service provided a supported living service. A supported living service is where people have a tenancy agreement with a landlord and receive their care and support from a care provider. As the housing and care arrangements were entirely separate people can choose to change their care provider if they wished without losing their home. At the time of the inspection they were offering personal care to five people in their own homes, and eight people living in a shared home.

Mencap Dorset Support Service had completed the process of supporting people to transition from residential living to independent living. The service manager confirmed people and staff had adapted well with the transition from living and working in a residential care home to supported living. The service manager was able to provide a number of examples where service users have been supported to develop their independence and life skills. People confirmed they had been consulted about where they wished to live. One relative told us, “I can’t believe how well the move has gone and how my relative has settled in. It was very important they stayed in the local area. The staff team have been so flexible, being there giving that extra support when needed”

People’s relatives told us the management and staff were very caring. We observed staff interacted with people in a friendly and considerate manner and respected their choices. Staff were very patient and took time to try to understand people’s wishes and preferences even though some people needed additional support to be able to express themselves verbally.

People had positive relationships with the staff members who supported them. Staff knew people’s individual histories, likes and dislikes and things that were important to them. People’s privacy and dignity was respected and information personal to them was treated in confidence.

The provider had a recruitment procedure that ensured the suitability of staff was checked before they began work. Staff knew how to recognise signs of abuse and all said they were confident that any issues raised would be appropriately addressed by the registered manager. People felt safe with the staff who supported them.

People had support plans which were personalised to them. Staff were knowledgeable of the needs and preferences of people they cared for. All staff spoken with were able to describe how they supported the people they visited. People said staff understood their needs and looked after them in the way they wanted to be looked after. Information contained in the care plans detailed what support people wanted from staff. Daily visit records showed staff had carried out the care and support in line with people’s care plans. Staff told us they felt the information available regarding people’s needs was good.

People received help with their medicines from staff who were trained to safely support them and

who made sure they had their medicine when they needed it. The provider undertook regular competency checks on staff to ensure they followed safe practice when supporting people.

There were systems in place to monitor the quality of the service and plan on-going improvements.

The results of a satisfaction survey had been very positive and people had expressed a high level of satisfaction with the service provided. People using the service and staff felt involved and able to make suggestions or raise concerns.

Mencap vision was to support people with learning disabilities to be valued equally, listened to and included within society. They told us they did this by ensuring people were included and led life to the full, ensuring people were safe, had their rights protected, inclusive learning and involvement within their local community. They believed they had followed this ethos when supporting the recent transition for people from a residential home to independent living.