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Wessex Regional Care Domiciliary Service Good

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

Inspection Summary


Overall summary & rating

Good

Updated 18 September 2019

About the service

Wessex Regional Care Domiciliary Service is a domiciliary care provider. At the time of this inspection 47 people received personal care support from the service. The service supported people who have learning disabilities, people with autism and older people either in their own homes or in supporting living accommodation.

Not everyone using the service receives a 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.

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.

The service was a domiciliary care provider and there were also people receiving care in supported living accommodation. These were small, residential properties where people received individual support. There were no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate the houses were supported living accommodation.

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.

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.

People were supported by staff trained to identify the signs and symptoms of abuse who would not hesitate to report poor practice of colleagues.

Risk assessments were completed, and risks minimised however positive risks were promoted to enhance people’s experiences.

Staff were mainly safely recruited. Improvements were instigated to the recruitment process during our inspection. We have made a recommendation about the recruitment procedures.

Staff were trained and assessed for competency in administering medicines and a comprehensive policy and procedure ensured that errors were thoroughly investigated if they happened.

People were supported to keep their homes clean and staff had a good understanding as to how to minimise the spread of infection.

Accidents and incidents were analysed, themes identified and risk assessments reviewed.

Assessments of need were completed before the provider agreed to provide a service to ensure the care provided would be suitable for them and manageable.

Staff completed an induction when commencing working for the provider. Regular supervision ensured staff felt supported in their roles.

People needed support tailored to their needs in order to maintain their diet, this was provided, and people were encouraged to eat healthily.

People received support to attend GP and hospital appointments and the provider had forged positive relationships with commissioners to enable a smooth process when people’s needs changed.

The service was compliant with the requirements of the Mental Capacity Act 2005.

People told us they felt thei

Inspection areas

Safe

Good

Updated 18 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 18 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 18 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 18 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 18 September 2019

The service was well-led.

Details are in our well-led findings below.