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Access All Care And Training Solutions Good

Inspection Summary


Overall summary & rating

Good

Updated 18 October 2016

This inspection was announced and took place on 29 July 2016. Access All Care had been previously inspected in January 2014 when they had met all regulations we checked.

Access All Care is a domiciliary care agency that provides personal care and support to disabled children and young people. People who receive a service include children and young people who have autism, cerebral palsy, attention deficit hyperactivity disorder and visual, hearing and speech impairment. The service also provides support to the whole family as well as the child or young person with a disability.

At the time of our inspection, the agency was providing a service to 7 children and young people who were receiving support and help with their personal care needs in their own home. A number of other children were supported to access activities in the local community. The frequency of visits ranged from two to fifteen hours per week to a full twenty four hour care package depending on the needs of the individual child or young person and their family.

During our inspection the registered manager was present. 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.

The feedback we received from people was excellent. Those people who used the service expressed great satisfaction and spoke very highly of the registered manager and the staff team.

The children and young people’s safety was taken very seriously. Risk assessments were extremely detailed and there were comprehensive plans in place to make sure that risks to safety and wellbeing were addressed.

The registered manager ensured that staff fully understood people’s care needs and matched staff who had the skill, experience and knowledge to meet them.

Families had positive relationships with their care workers and the management team. There was a strong emphasis on positive support and respect for families and any care provided to children and young people was planned to support and enhance the family systems already in place.

Children and young people received a service that was based not only on the wishes of their families but their needs and wishes too. Any changes in need were quickly identified and staff updated support plans to meet those changes in need. Staff worked well with a wide range of professionals to keep the health and wellbeing of children and young people paramount and were supporting some children and young people with multiple or complex needs.

The nominated individual, the registered manager and the care co-ordinator worked as a very cohesive management team who were committed to keeping the child or young person at the centre of everything they did. They used feedback from the children and young people, their families, staff and other professionals to continually review the quality of the service. There were effective quality assurance systems in place and these included systems to understand the experiences of the children, young people and families who used the service. The management team demonstrated strong values and a wealth of knowledge and skill about how to support the people who used the service. Their own personal experiences of trying to find good quality care and support for children and young people with a learning disability in the past had led them to establish a service that had the ethos and standards they would have wanted.

The staff team were young, and this was a deliberate policy to enable them to better reflect the service user group. A high percentage of the staff had siblings who had a learning disability and this experience enabled an understanding of the challenges faced by some families. The staff were supported by the management team and had a programme of training and supervision and appraisal that enabled them to provide a high quality service to children, young people and their families.

Inspection areas

Safe

Good

Updated 18 October 2016

The service was safe.

Children and young people were protected from harm. Staff worked with a wide range of professionals to plan best care around the child and this included contributing to statutory children in need meetings.

Staff had knowledge, skill, experience and time to provide safe care and support. There were recruitment and induction procedures to ensure that children and young people were supported safely. There were sufficient staff to meet their assessed needs.

Systems were in place to ensure that children and young people received their medicines safely.

Effective

Good

Updated 18 October 2016

The service was effective.

Children and young people experienced positive outcomes as the result of the care provided.

Staff received effective training and support to ensure they had the skill and knowledge required to support children and young people effectively.

Staff knew how to support children and young people with their dietary needs.

Caring

Good

Updated 18 October 2016

The service was caring.

The management team and staff were committed to a person centred service. The service principles of supportive, compassionate care to families was reflected by the staff.

People expressed a high level of satisfaction with the care they received and valued the relationships they built with the staff and management team.

Responsive

Outstanding

Updated 18 October 2016

The service was responsive.

Staff quickly recognised changes in the needs of children and young people and took prompt, appropriate action involving external professionals when needed.

When people had requested changes in care packages these had been made quickly and in line with their preferences and needs.

People were actively encouraged to give their views and raise concerns or complaints because the service saw these as a way to continually develop and improve the service. When issues were raised they were dealt with in an open and honest way.

Well-led

Good

Updated 18 October 2016

The service was well-led.

The registered manager, the nominated individual and the care co-ordinator had strong values and a strong commitment to person centred care.

There was an emphasis on continuous improvement and best practice which benefited children, young people and their families and the staff team.

There were robust systems in place to assure quality and identify potential for improvement. Children, young people and their families were kept at the heart of the service and benefitted from the service commitment to driving forward standards and knowledge.