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

Inspection Summary


Overall summary & rating

Good

Updated 3 October 2019

About the service

Dynamic Support is a domiciliary care and supported living agency. It provides personal care to any adults who require care and support in their own houses and flats in the community. In addition, this service provides support to six people living in two 'supported living' settings, so that they can live in their own home as independently as possible.

Not everyone who used the service received personal care. CQC only inspects where people receive 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 inspection, the service supported 12 people who were receiving personal care in their own homes. The service provides support to older people, people with learning and physical disabilities, sensory impairment and people living with dementia.

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 Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

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.

Positive outcomes for people were evidenced and feedback about the service described it as exceptional. A relative commented, “We just feel so fortunate. We never thought we’d have this level of care for [person]. You can tell they [staff] want to be with [person]. They are the answer to our prayers.” The service had excellent links and worked effectively in partnership with other health and social care organisations. Where people had complex or continued health needs, staff always sought to improve their care. There was a holistic approach to assessing, planning and delivering care and support. New evidence-based techniques were used to support the delivery of high-quality care and support. Staff training was developed and delivered around individual needs. There was a proactive support and appraisal system for staff, which recognised that continuing development of skills, competence a

Inspection areas

Safe

Good

Updated 3 October 2019

The service was safe.

Effective

Outstanding

Updated 3 October 2019

The service was exceptionally effective.

Caring

Good

Updated 3 October 2019

The service was caring.

Responsive

Good

Updated 3 October 2019

The service was responsive.

Well-led

Good

Updated 3 October 2019

The service was well-led.