We carried out a review of the data available to us about Antoine Care LTD 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 Antoine Care LTD, you can give feedback on this service.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community and specialist housing. It currently provides a service to adults with learning disabilities or autistic spectrum disorder. Four people used the service at the time of our inspection.
People’s experience of using this service and what we found
Relatives and people told us they felt safe with the staff who supported them.
Staff had regular safeguarding training and knew about the different types of abuse. Staff understood their responsibilities in relation to protecting people from the risk of harm. Where risks to people had been identified, risk assessments were in place.
People received their medicines when they needed them. Staff were very knowledgeable about people's changing needs.
People were supported by staff who were well trained and competent in their role. People were assessed before they used the service to ensure their needs and preferences could be met.
Staff understood the importance of ensuring people's rights were understood and respected.
People and their relatives told us they felt well cared for by staff who treated them with respect and dignity and encouraged them to maintain relationships and keep their independence for as long as possible.
Where people lacked capacity, people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People's communication needs were assessed and understood by staff. People were provided with information in a format which met their needs.
Staff liaised with other health care professionals to ensure people's safety and meet their health needs.
Staff spoke positively about working for the provider. They felt well supported and they could talk to management at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their role.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were working towards consistently meeting the underpinning principles of Right support, right care, right culture.
Right support:
People were supported to be independent and have choice and control. Improvements are required to ensure peoples voices such as reviews being conducted.
Right care:
Care was delivered in a way which meant people's human rights were respected.
Right culture:
Antoine Care were working with management and staff at all levels to continually improve the culture of the service. Staff were aware of the organisations visions and values which were centred around supporting people to live meaningful lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Good (published 09 January 2019)
Why we inspected
We received concerns in relation the management of safeguarding incidents. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led only. We found no evidence during this inspection that people were at risk of harm from this concern.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. Please see the Safe and Well-Led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community and specialist housing. It currently provides a service to adults with learning disabilities or autistic spectrum disorder. Two people used the service at the time of our inspection.
There was a registered manager in place who had registered in January 2017. We visited the registered manager in their office for our inspection. 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.
People and relatives told us they felt the service was safe. People were supported to have their risks managed by familiar staff who regularly supported them. Recruitment processes were carried out safely to reduce the risk of people being supported by staff who were unsuitable. People received safe support with their medicines.
People were supported to have their needs monitored, and to access healthcare services when needed, to help promote their health. People’s meals were prepared with the support of staff and healthy options encouraged. People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive ways possible. Staff were supported to develop the skills and knowledge needed for their roles.
People’s relatives told us staff were kind and caring. People were supported to express their care needs and wishes. People’s independence was promoted and people were treated with care and respect.
People’s individual needs and preferences were considered and met through care planning processes. People and relatives were given access to information about how to complain about the service if they needed to. A complaints process was in place and would be used when necessary to drive improvements to the service.
We received consistently positive feedback about the service and how people’s needs were responded to. Relatives spoke positively about the support provided and felt the care provided had a positive impact on people’s lives. People’s relatives and staff felt able to contact the registered manager when needed.
Although the registered manager had oversight of the quality and safety of the service, this was not always robust; people’s own views were not always sought where possible, and records were not always accurately maintained and available to always ensure the safety of the service. We have made a recommendation about this.