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At Home-Specialists in Care Ltd Good

Inspection Summary


Overall summary & rating

Good

Updated 30 April 2019

About the service: At Home-Specialists in Care Ltd is a domiciliary care service that was providing personal care to 72 people; mainly older people, but also to younger adults, people with a learning disability or autistic spectrum disorder, people with physical disabilities, mental health, sensory impairment and people living with dementia.

People's experience of using this service: 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.

The service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion.

People received safe care and support because systems and processes in place ensured any risks were safely managed by staff, and their needs met with minimal restrictions in place.

Staff understood the importance of providing person-centred care and had developed positive relationships with people.

Staff were recruited into their role with appropriate checks in place before they commenced independent duties with people in their own homes.

Staff had received training and clear guidance was followed to help people to understand how to remain safe from avoidable harm and abuse.

People received help with their medicines as assessed. Records confirmed people had received their medicines as prescribed.

People were involved in their care planning. Records were person-centred and regularly reviewed.

Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.

Staff were friendly and polite. Staff took time to get to know people. They had a clear understanding of, and how to support, people's individual and diverse needs.

People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.

Everybody spoke positively about the staff and management of the organisation. The manager was responsive to any concerns we raised; implementing immediate corrective actions. They were clearly passionate about providing people with care and support that improved their lives and helped them to remain in their own homes.

The provider had good relationships with people, other organisations and used feedback to help drive improvements.

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Rating at last inspection: Requires improvement. (The last report was published on 10 May 2018.)

Why we inspected: This inspection was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 30 April 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 30 April 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 30 April 2019

The service was caring.

Details are in our Effective findings below.

Responsive

Good

Updated 30 April 2019

The service was responsive.

Details are in our Effective findings below.

Well-led

Good

Updated 30 April 2019

The service was well led.

Details are in our Effective findings below.