Background to this inspection
Updated
5 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience contacted relatives for their feedback.
Service and service type
This service provides care and support to people living in their own homes, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The service had a manager registered with the Care Quality Commission. (CQC) This means that they and the provider are legally responsible for how the service is run and for the quality and the safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because the service was small and people are often out and we wanted to be sure there would be people available to speak with us.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority and we used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what the service does well, and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager. We telephoned five relatives of people who used the service and spoke with seven staff members. We also observed care to help us understand the experience of people who could not talk with us. We reviewed a range of records. This included two people's care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervisions. We reviewed a variety of records relating to the management of the service, including supervision records, quality assurance systems and policies and procedures.
Updated
5 December 2019
About the service
Dalesview partnership domiciliary care is registered to provide personal care to people with learning disabilities or autistic spectrum disorder in their own homes in Lancashire. At the time of the inspection the service supported nine people at three addresses in the Chorley area.
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 protected from the risk of abuse and avoidable harm by staff who understood how to recognise and respond to concerns. People’s representatives told us staff were available when they needed them and they felt their relatives were safe. One relative said, “I worried about her having to leave home from being a teenager, if I had known what I know now, I wouldn't have worried about her being safe with other people. It's not just what I was hoping for, it's much, much better.” The environment was clean and well maintained. People were safely supported to receive their medicines, as prescribed.
People's needs were assessed, and care and support had been planned in partnership with them. People were provided with a nutritious and varied diet. Staff had received regular training and supervision to support them to meet people's needs. 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. People told us staff were kind, caring, attentive and treated them with dignity and respect.
People received person-centred care which was responsive to their needs and communication was tailored around individuals. The registered manager addressed people's concerns and relatives told us they felt listened to. The registered manager worked in partnership with a variety of agencies to ensure people received all the support they needed. People were happy with how the service was managed. Staff felt well supported by the registered manager who visited regularly. The registered manager completed regular audits and checks, which ensured appropriate levels of quality and safety were maintained at the home.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 May 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.