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Inspection carried out on 13 December 2018

During a routine inspection

This inspection took place on 13 December 2018 and was announced. The registered provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be at the office to assist with the inspection.

The service was last inspected in June 2016. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This service is a domiciliary care agency. It provides personal care to people with physical disabilities, learning disabilities and autism who live in their own home or supported living. Not everyone using 247 Community Support receives regulated activity. CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection eight people were receiving personal care from the service.

There was a registered manager in place. 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. The registered manager was registered at this location in 2015.

People and their relatives said staff at the service kept people safe. Medicines were managed safely. Risks to people were assessed and steps taken to reduce them. Plans were in place to support people in emergency situations. The provider had policies and procedures in place to promote effective infection control measures. People were safeguarded from abuse. The provider and registered manager monitored staffing levels to ensure enough staff were deployed to provide safe support. The provider’s recruitment processes minimised the risk of unsuitable staff being employed.

People's health and social needs were assessed before they started using the service to ensure the correct support was made available to them. Staff worked closely with a range of external healthcare professionals to maintain and promote people’s health and wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. Staff were supported with regular training, supervision and appraisal. People received support to manage their food and nutrition.

People and relatives spoke positively about the staff at the service. Staff were very knowledgeable about people’s families, backgrounds, hobbies and interests and this led to interesting and fulfilling conversations that people clearly enjoyed. Staff worked to promote people’s independence and enable them to live as full and free a life as possible. Policies and procedures were in place to support people to access advocacy services.

People received person-centred support based on their assessed support needs and preferences. Staff were knowledgeable about people’s communication support needs. People were supported to source, organise and participate in a wide range of activities they enjoyed. Policies and procedures were in place to investigate and respond to complaints.

The registered manager had informed CQC of significant events in a timely way by submitting the required notifications. People, relatives and staff spoke positively about the culture and values of the service, and about the leadership provided by the registered manager. The provider and registered manager carr

Inspection carried out on 6 May 2016

During a routine inspection

The inspection took place on 6 May 2016. The inspection was announced as 24-7 Community Support provides domiciliary care to people in their own homes we gave the service 24 hours’ notice to make sure there was someone at the office for the time of our inspection.

24 - 7 Community Support is a domiciliary care service that provides personal care and support to young people and people with physical disabilities, learning disabilities and autism who live in their own home or supported living. The service covers the Darlington area and at the time of our inspection the service supported 29 people.

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.

We spoke with members of the staff team including a board director, and care staff who told us that the registered manager was always available and approachable. We spoke with people who used the service on the day of the inspection and their relatives.

We saw that peoples prescribed medicines and topical medicines were recorded when administered. We looked at how records were kept and spoke with the registered manager and director about how staff were trained to administer medicines and we found that the medicines administering, recording and auditing process was safe.

From looking at people’s support plans we saw they were person centred. ‘Person-centred’ is about ensuring the person is at the centre of everything and their individual wishes and needs and choices are taken into account. The support plans made good use of personal history and described individuals care, treatment, wellbeing and support needs. These were regularly reviewed and updated by the care co-ordinators and the registered manager.

People who use the service received person centred support and their cultural beliefs were respected and valued.

Individual support plans contained risk assessments. These identified risks and described the measures and interventions to be taken to ensure people were protected from the risk of harm. The care records we viewed also showed us that people’s health was monitored and referrals were made to other health care professionals where necessary for example: their GP, mental health team and care manager.

Our conversations with people who use the service and their relatives during the inspection showed us that people who used the service were supported in their own homes by sufficient numbers of staff to meet their individual needs and wishes.

We looked at the recruitment process and found that relevant checks on staff took place and this process was safe. People who used the service chose their own staff and together with their families were a major part of the recruitment process.

We looked at the staff training records we could see staff members were supported and able to maintain and develop their skills through training and development opportunities. Staff we spoke with confirmed they attended a range of learning opportunities. They told us they had regular supervisions with the registered manager, where they had the opportunity to discuss their care practice and identify further training needs.

People were supported with one to one support to empower them and enable them to maintain paid employment opportunities.

People were encouraged to plan and participate in activities that were personalised and meaningful to them. People were supported regularly to play an active role in their local community, which supported and empowered their independence including; holding regular coffee mornings, accessing local facilities and supporting people to access public transport independently.

We saw compliments and complaints procedure was in place and th