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Inspection Summary


Overall summary & rating

Good

Updated 9 May 2018

We carried out a comprehensive inspection of Outreach on 8 March 2018.

Outreach is a domiciliary care agency. The service provides support to adults and younger adults with learning disabilities or autistic spectrum disorder. It provides personal care to people living in their own houses and flats in the community and to people in supported living arrangements.

Supported living is where people receive support so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Not everyone using Outreach received regulated activity; CQC only inspects the service being received by people being provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where the service does provide any wider social care, we also take this into account. At the time of the inspection the service was supporting one person with personal care.

Outreach has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a registered manager in post. 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.

This was the first inspection of the service since it was registered with the Care Quality Commission (CQC) in December 2016.

There were systems and processes in place to keep people safe from abuse and avoidable harm. The person using the service told us, “I feel very safe”. People using the service had support to know what abuse, including discriminatory abuse, could look like and how to get help.

Staff had received safeguarding training and knew how to recognise and report abuse. The registered manager reviewed and investigated any safeguarding incidents or concerns and took action to keep people safe. People had risk assessments in place and any control measures needed to minimise risks were put in place in the least restrictive manner. Staff reported accident and incidents and the service took appropriate action to prevent future incidents from occurring.

There service had enough staff with the right skills and experience to meet people’s needs. Rotas were written so staff matched the needs of the people they supported. There were safe recruitment practices and all staff had a satisfactory Disclosure and Barring Service (DBS) check.

Staff had received training in infection control and food hygiene best practice and provided support for people to maintain a clean and hygienic environment and to store, prepare and handle food safely.

People’s physical, psychological and social needs had been assessed so staff knew the support they needed and how to help them achieve their preferred support outcomes. The person using the service and their relative told us they had been actively involved in this process. The provider promoted equal rights for people with learning disabilities and was committed to helping people overcome any form of discrimination to achieve the support outcomes they wanted.

The provider operated a number of other different services within its organisation to help people achieve good outcomes and have a good quality of life. Staff worked with these internal services to co-ordinate people’s support, so their needs could be effectively met. The person using the service told us they were encouraged to attend the evening social events at the provider’s drop in cen

Inspection areas

Safe

Good

Updated 9 May 2018

The service was safe.

The person using the service told us they felt safe.

There were systems and processes in place to keep people safe from abuse and avoidable harm, including discriminatory abuse.

People had risk assessments in place. Any control measures needed to minimise risks were put in place in the least restrictive manner.

Staff reported accident and incidents and the service took appropriate action to prevent future incidents from occurring.

There were safe recruitment practices and enough staff with the right skills and experience to meet people’s needs.

Effective

Good

Updated 9 May 2018

The service was effective.

People’s physical, psychological and social needs were assessed and the service did not discriminate against people’s support choices.

People achieved their preferred support outcomes and had a good quality of life.

Staff had training in a range of subjects, including learning disabilities and autism so they could meet people’s needs.

People consented to their care and the service supported people in line with the principles of the Mental Capacity Act 2005.

People had support to access healthcare services and received effective support with eating and drinking.

Caring

Good

Updated 9 May 2018

The service was caring.

The person using the service said staff were kind, listened to them and offered them emotional support if they needed it.

Staff knew and respected who people were as an individual and had built trusting and productive professional relationships with people.

Staff involved people in making decisions about their care and communicated with in a way that suited them best.

People were encouraged to be as independent as possible. Staff respected people’s privacy and dignity and confidentiality.

Responsive

Good

Updated 9 May 2018

The service was responsive.

The person using the service and their relative contributed to the planning of their care and support and this was regularly reviewed.

Care plans contained detail about people’s preferences, strengths and levels of independence. Staff knew how to meet people’s needs in a personalised way.

People had support to develop and maintain relationships, follow their interests and take part in meaningful activities of their choice in the wider community.

Information about care and support for people with a disability or sensory loss related communication need was available for people. People knew how to raise a complaint and these were responded to appropriately.

Well-led

Good

Updated 9 May 2018

The service was well-led.

The service had a clear vision of empowering people with a learning disability and strengthening their relationships with other people in their community.

There was a positive and inclusive team culture. Staff felt valued and contributed to developing the service to realise its vision.

The service encouraged accessible and open communication with people who used the service. Their views and experiences were acted on to shape and improve the service and its culture.

Quality assurance and governance systems were effective and the service looked to continuously improve.