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Access All Care And Training Solutions Good


Inspection carried out on 29 July 2016

During a routine inspection

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 carried out on 9 January 2014

During a routine inspection

Relatives of people using this service told us that they were happy with the care that was being provided. One relative told us that "Staff are amazing and there is not a bad carer among them." Another relative told us that the service was "absolutely wonderful."

People’s needs were assessed and care was delivered in line with their individual care plan. An initial home visit was carried out to develop a care plan and carry out risk assessments with people who were new to the service. People were asked for their consent, and the provider acted in accordance with their wishes, before they received any care. People with communication difficulties were supported in understanding their options through the use of pictorial guidance.

The provider had an effective system to regularly assess and monitor the quality of service that people received. The manager carried out monthly audits of the care plans to identify whether any changes were needed. Six monthly audits of each person's risk assessments were also carried out.

Staff felt well supported. There were supervision processes in place to discuss their performance. Staff received regular training to ensure that they had the skills and knowledge required to support the people using the service. People’s health, safety and welfare was protected when more than one provider was involved in their care because the provider worked in co-operation with other care professionals, such as social workers.

Inspection carried out on 21 February 2013

During a routine inspection

People who use the service understood the care and treatment choices available to them. The manager of the service told us that people were always visited by her before any care was given, to identify people’s individual needs and preferences.

Peoples’ needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Full reviews of people’s care took place annually and included all of the elements of the support plans such as specific care needs, helping people gain greater independence and setting goals with people.

Relatives told us they were happy with the care. One person said, “they have been amazing, absolutely amazing. They have not only looked after my daughter but advocated on her behalf when she needed it”. Another said, "they have been fine, I have no complaints”.

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were cared for and supported by suitably qualified, skilled and experienced staff because appropriate references and Criminal Record Bureau checks had been made before staff started working for the service.

There was an effective complaints system available and Comments and complaints people made were responded to appropriately.