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

Inspection Summary


Overall summary & rating

Outstanding

Updated 30 August 2018

The inspection took place on 14 June 2018 and was announced. We gave the registered manager 48 hours' notice because the location provides a domiciliary care service and we needed to make sure someone would be in the office. We were assisted during our inspection by the registered manager. We gathered information about the service before the inspection and also attended a ‘Steering Group’ meeting as part of the inspection process.

This was the service’s first inspection under this registration. The service was previously provided as Fun and Breaks (Chichester and Arun) and Fun and Breaks (Crawley, Horsham and Mid Sussex)

Fun and Breaks [FAB] is registered as a domiciliary care service which is run by West Sussex County Council. It provides support to children with disabilities, their parents and carers. It provides care to children within their home and in the community. The service is provided to those children who meet the threshold for the Child Disability Teams in West Sussex. Each family is matched with one volunteer who offers a regular commitment. The service provides children and their families with support for up to two hours per week with a trained volunteer. The time is used flexibly as arranged between families and volunteers. Volunteers take full care of the disabled child and can also look after siblings. At the time of our visit 25 families were receiving a service. There was also a waiting list for further families who wished to receive this support.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Children and young people were actively and positively encouraged and supported to engage in everyday activities and hobbies with the volunteers that enabled them to live good ordinary lives. Families fed back that the support they received had befitted their child or young person and enabled them to have, ‘new opportunities’, ‘be more independent’, ‘be more confident’, ‘develop social skills’ and that the support provided enabled the family to have, ‘a break’. Children and young people were very positive about the volunteers and the relationships they had developed with them. Children said that the volunteers were their friends and family observed that there were meaningful relationships developed with ‘trust’. We saw that wonderful relationships were fostered between volunteers and families. Professionals were also extremely complimentary and positive about the ‘outstanding’ service provided by Fun and Breaks to families at times of significant challenges in their lives. Volunteers made a real difference to avoid crisis for the children, young people and their families.

Without exception, families, children and young people all told us that they were very happy with the support they received from the volunteers who were ‘matched’ to their individual preferences. Feedback from young people and children demonstrated that they were exceptionally happy with the support they received from the volunteers whom had evidently become very valued in their lives of the families as well as the children and young people. Relatives and children alike felt safe and ‘comfortable’ with the volunteers. Volunteers completed safeguarding training and were aware of infection control safe practices. However, young people and children did not routinely receive regular personal care from the volunteers.

Volunteers were exceptionally well supported in their roles by the registered manager who provided regular opportunities for face to face supervision sessions and provided training for the volunteers that was tailored to meet the specific and individual needs of the children and young people. Voluntee

Inspection areas

Safe

Good

Updated 30 August 2018

The service was safe.

Families, children and young people told us they received a safe service and that they felt safe with the support they received from the volunteers.

Safe systems and processes were established to protect the safety of people using the service. Risks were appropriately assessed and managed to reduce the risks of harm occurring.

Medicines were not routinely given to children and young people unless this was required in an emergency. Correct procedures were in place if this was required.

Personal care was not routinely provided to children and young people, but when this may be required, volunteers understood infection control and preventative measures to keep young people and children safe from the risks of infection.

Effective

Outstanding

Updated 30 August 2018

The service was very effective and volunteer�s skills were tailored to meet individual needs of children and young people.

Children, young people and their families positively benefitted from the support they received from volunteers who were very well-trained to support the specific needs of the children and young people whom they cared for.

Volunteers were well supported in their roles by the registered manager and received regular supervisions.

Volunteers and young people and children alike benefitted from volunteers who were �matched� to their preferences which enabled positive relationships to be developed and maintained.

Children and young people�s needs were assessed very holistically with support and input from their families. Information technology was used to maintain positive relationships between families and the service which ensured care for the young person was always tailored to meet their specific needs and preferences.

Volunteers were very sensitive and aware of the needs of the families, young people and children that they supported. Appropriate discussions took place between the volunteers and families which ensured that consent was obtained as and when required.

Caring

Good

Updated 30 August 2018

The service was very caring towards young people, children and their families and approached every situation with calmness and sensitivity.

Children, young people and families told us that the service they received was very caring.

Volunteers supported young people and children to engage in everyday activities to encourage and maintain independence whenever possible.

We were told that dignity and privacy was respected by volunteers and that volunteers were kind and respectful towards the children, young people and their families alike. Meaningful positive relationships were developed which were valued by all concerned.

Confidentiality was understood and maintained with the right to privacy being upheld with robust systems and well-trained volunteers and management team.

Responsive

Good

Updated 30 August 2018

The service was very responsive to the individual needs and preferences of the children, young people and their families.

The specific needs of the children, young people and families were reviewed appropriately with the involvement of all concerned. Information technology was used to support the communication needs of the children and young people and to support communication between the registered manger and families. Information was shared with young people and children in an accessible format for their individual needs.

Complaints processes were understood by those who used the service. There were no formal complaints at the time of the inspection and volunteers also said that they had never had to raise any concerns or complaints on behalf of those they supported.

End of life care was not provided by the service.

Well-led

Outstanding

Updated 30 August 2018

The service was extremely well-led by a very dedicated and passionate management team and exceptionally dedicated volunteers.

There was a clear service strategy and governance structure which supported the consistent delivery of high quality care and support. Without exception families, children, young people and volunteers were involved in the development of the service with their views being included and listened to.

Systems and processes enabled the service to be monitored effectively with senior management actively supporting the service provided to people.