We carried out a review of the data available to us about Delivering Care Direct on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Delivering Care Direct, you can give feedback on this service.
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 felt they were safe and relatives raised no concerns over how staff supported their family member. Staff knew how to escalate issues and concerns and were aware of potential risks when providing support. People received their medicines appropriately, as required. Staff used correct equipment, such as gloves and aprons when assisting people. Accidents and incidents were managed appropriately.
Staff received an effective induction and an appraisal. Staff had received training and felt able to support people confidently. People felt that staff supported their individual needs and requirements. People received food and drinks as required and attended any medical appointments. People were supported in the least restrictive way possible and in their best interests.
People felt staff were kind and caring towards them. People were given choices and were able to make their own decisions as far as possible. Staff supported people to be independent and ensured that people’s privacy and dignity was maintained.
People and relatives felt involved in the development of care plans and daily support. Care plans provided staff with information about people’s needs and preferences and how they would like these to be met. A complaints procedure was in place and people and their relatives knew how to raise concerns and felt confident these would be addressed.
People, relatives and staff thought the service was managed well. The registered manager was described as visible, approachable, open and transparent in the way they managed the service. Systems were in place to monitor the delivery of the service.
The service applied the principles and values of Registering the Right Support and other best practice guidance.
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
The manager was registered with us as is required by law and was present on both days that we visited. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
People were protected from the risk of harm or abuse because staff had been trained to recognise and report abuse. Risks associated with people's everyday living had been identified and plans were in place to help to reduce risks. Staff were recruited safely and staffing levels ensured that people were safe and received the care and support that they needed in their own home. Arrangements were in place to ensure people received their prescribed medicines safely from staff who had been trained.
Staff were provided with the training they needed to meet people's specific needs. Staff had regular supervision to reflect on and develop their practice. The principles of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguarding were understood by staff so that people's rights were promoted. Staff supported people with their meals and drinks to ensure their dietary needs were met. Healthcare professionals had been well utilised to ensure people's health needs were addressed in a timely manner.
People were supported by staff who were kind and friendly. Staff involved people in identifying their needs and preferences. People's privacy and dignity was promoted and staff respected them as individuals. People were supported to retain their independence and lifestyle within their own home. Systems were in place to support people to raise any concerns or complaints. The format of the complaints procedure was being improved to aid people's access and understanding.
There was an open and inclusive style of management that ensured that the service was run in the best interests of the people who used it. People were happy with the support they received and had positive relations with the staff team and registered manager. Processes were in place to monitor the service to ensure that it was run in the best interests of the people who used it.