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Inspection Summary

Overall summary & rating


Updated 2 August 2019

About the service

Advance Lincolnshire is a domiciliary care service providing care and support to older people and younger adults, as well as people who may be living with a learning disabilities or autistic spectrum disorder, dementia, mental health need, or a physical disability.

Not everyone using the service receives regulated activity; the Care Quality Commission (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 consider any wider social care provided. At the time of our inspection only one person was being supported with personal care.

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

People continued to receive a good service. They were safe from harm. Systems and appropriately recruited staff supported this. People’s risks were safely managed. Sufficient numbers of staff were employed to support them in taking risks. People were safely supported with handling medicines and keeping their homes clean.

Staff were trained, skilled and well supported by the provider. People had good relationships with the staff who protected their rights to lead a normal life. 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 and caring. People were respected, staff championed their privacy and dignity and encouraged their independence in all aspects of life.

Staff were motivated to provide person-centred care based on people's choices and preferences. They were dedicated and praised for this by health and social care professionals. People were supported to do the things they wanted to. Any dissatisfaction in receiving the service was addressed and resolved.

People had the benefit of a service that was positive, inclusive and forward-looking. There was a registered manager and a management team who maintained checks on how well the service was provided. Documents held in the office were secure to ensure confidentiality of people's information.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The service continued to meet the characteristics of good in all areas.

For more details, please see the full report which is on the CQC’s website at

Rating at last inspection

At the last inspection service was rated Good (report published 9 July 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas



Updated 2 August 2019

The service was safe.

Details are in our Safe findings below.



Updated 2 August 2019

The service was effective.

Details are in our Effective findings below.



Updated 2 August 2019

The service was caring.

Details are in our Caring findings below.



Updated 2 August 2019

The service was responsive.

Details are in our Responsive findings below.



Updated 2 August 2019

The service was well-led.

Details are in our Well-led findings below.