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Inspection Summary


Overall summary & rating

Good

Updated 28 March 2019

About the service: Bromley Mencap is a small community based adult social care service. It specialises in providing personal assistants and respite personal care and support for families of people with a range of needs including learning disabilities, physical disabilities, and or mental health and sensory needs. The focus of the service is on encouraging people's independence, well- being and involvement in their community, as well as providing some respite for families. At the time of our inspection one person was using the service.

People’s experience of using this service:

¿ The service applied the values and principles of CQC guidance ‘Registering the Right Support’ (RRS). People were enabled to make choices about their lives and were supported to be as independent as possible. RRS guidance works to ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes including control, choice and independence.

¿ People and their relatives spoke positively about the service. They told us they felt safe and their needs were met.

¿ People were supported by personal assistants [PAs]. PAs knew the people they supported and had built good relationships with them and their relatives to ensure appropriate person-centred care and support was provided.

¿ The service had safeguarding and whistleblowing policies and procedures in place and staff had a clear understanding of these procedures and how to keep people safe.

¿ People's needs and preferences were assessed and where risks were identified, plans were in place to manage risks safely in the least restrictive way possible.

¿ There were safe arrangements in place to manage medicines where this was part of someone’s planned support. PA’s followed appropriate infection control practices to prevent the spread of infections.

¿ Appropriate recruitment checks took place before staff started work and there were enough PAs available to meet people’s care and support needs.

¿ PAs had the skills, knowledge and experience to support people appropriately. PAs were appropriately supported through induction, training and regular supervision.

¿ People were supported to maintain a healthy balanced diet where this was part of their planned care.

¿ 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 and their relatives told us staff treated them in a kind, caring and respectful manner.

¿ People and their relatives, where appropriate, had been consulted about their care and support needs.

¿ People were supported to access community services and to participate in activities of their choosing that met their needs.

¿ PAs worked with people to promote their rights and understood the Equality Act 2010, supporting people by appropriately addressing any protected characteristics.

¿ There were systems in place to assess and monitor the quality of the service.

¿ The service worked in partnership with health and social care professionals and other organisations to plan and deliver an effective service.

¿ The service took people, their relatives and staff views into account through surveys and informal feedback to help drive service improvements.

Rating at last inspection: Good (Report was published on 9 August 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection. We found the service continued to meet the characteristics of Good in all areas.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit in line with our re-inspection programme. If any concerning information is received we may inspect the service sooner.

For more details, please see the full report which is on the website at www.cqc.org.uk

Inspection areas

Safe

Good

Updated 28 March 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 28 March 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 28 March 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 28 March 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Good

Updated 28 March 2019

The service was well-led.

Details are in our Well-Led findings below.