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Inspection Summary


Overall summary & rating

Good

Updated 14 January 2020

About the service

Options West Sussex is a domiciliary care agency providing care and support to people living in their own homes who have a range of needs, including people with a learning disability and Autism. CQC only inspects where people receive personal care. Not everyone who used the service received 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 22 people were receiving personal care.

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 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. However, records had not always been made for decisions completed in people’s best interest. We recommended that the management team continue to review guidance on the Mental Capacity Act 2005.

People told us they were happy with the service they received and staff treated them with kindness and respect. Relatives gave us positive feedback about people’s safety and told us that staff did their job well. One relative said, “I trust them [staff], and know they will look after [Person’s name] and keep them safe.”

Staff had completed training in the safe administration of medicines and people received their medicines safely and as prescribed. Appropriate arrangements were in place for obtaining, recording and disposing of prescribed medicines.

Systems were in place to monitor incidents, accidents and near misses. There were clear processes in place to monitor risks to people, which helped to ensure they received effective care to maintain their safety and wellbeing.

Staff received an induction into their role and had received appropriate training that equipped them to support people. They had regular refreshers of training to help ensure they continued to be sufficiently skilled and knowledgeable. Appropriate recruitment procedures were in place to help ensure only suitable staff were employed.

People's needs were assessed to ensure these could be met by the service. The management team and staff worked with other external professionals to ensure people received effective care.

People had detailed and accurate care plans in place, which were person centred. Staff supported people, showed an understanding of equality and diversity and people were treated with dignity, and their privacy was respected. People and their relatives where relevant, were involved in the planning and review of their care. People were supported to maintain their independence and encouraged to participate in activities of daily living.

The service 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.

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.

A complaints procedure was in place, which relatives and people confirmed they were aw

Inspection areas

Safe

Good

Updated 14 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 14 January 2020

The service was well-led.

Details are in our well-Led findings below.