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Independence Homes Domiciliary Care Agency Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 27 November 2020

About the service

Independence Homes Domiciliary Care Agency is part of Active Care Group, a large national provider had taken over the ownership of Independence Homes. The service provides support for adults with learning disabilities, physical disabilities or mental health needs. At the time of this inspection, the service was providing support within the regulated activity of personal care to 35 people across four ‘supported living’ settings. Support ranged from a few hours per day to 24-hour care. CQC does not regulate the premises used for supported living; this inspection only looked at people’s personal care and support.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The management team had continued to develop and improve the quality of support against their own action plan since taking over the running of the service. The outcomes for people at each setting that provided a regulated activity now better reflected the principles of this guidance. As such, people were supported to have 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 service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• Comprehensive assessments and care plans were now the basis of personalised care and ensure that staff supported people in a way that maximised their choice and control, and independence. Staff had a better understanding of people’s needs and were committed to supporting them to live the lives they chose.

Right care:

• Care was more person-centred and promoted people’s dignity, privacy and human rights. People’s individual needs were recognised, and diversity celebrated. Managers had introduced ways of encouraging staff and people to explore each other’s cultures, beliefs and religions in an inclusive way.

Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff enabled people using services lead confident, inclusive and empowered lives. The management team had worked hard to develop an open and transparent culture which promoted learning and not blame.

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 requires improvement (published 6 February 2020).

Why we inspected

We carried out an unannounced comprehensive inspection of this service in November 2019 where the service was rated requires improvement for the second consecutive time. Following that inspection, the provider completed an action plan to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm the areas which previously required improvement had been addressed. This report only covers our findings in relation to the Responsive and Well-led key questions.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Independence Homes Domiciliary Care Agency on our website at www.cqc.org.uk.

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 in

Inspection areas

Safe

Good

Updated 27 November 2020

Effective

Requires improvement

Updated 27 November 2020

Caring

Good

Updated 27 November 2020

Responsive

Good

Updated 27 November 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 27 November 2020

The service was well-led.

Details are in our well-Led findings below.