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Doncaster Community Support

Overall: Good read more about inspection ratings

Unit 5, M&M Business Park, Doncaster Road, Kirk Sandall, Doncaster, DN3 1HR (01733) 873700

Provided and run by:
Royal Mencap Society

Important: This service was previously registered at a different address - see old profile

Report from 15 January 2025 assessment

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Well-led

Good

22 April 2025

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

The service was previously in breach of the legal regulation in relation to governance. Improvements were found at this assessment and the service was no longer in breach of this regulation.
 

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Shared direction and culture

Score: 3

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. Accidents and incidents were recorded and analysed to ensure lessons were learnt. Following accidents and incidents, support plans and risk assessments were updated to reflect any changes. One staff member said, “We have a debrief with staff after incidents to look for triggers and look at how things could be done different in the future.”

Capable, compassionate and inclusive leaders

Score: 3

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. The registered manager was supported by a service manager whose responsibility it was to oversee the day to day management of the domiciliary care agency. The service manager told us they felt supported by the registered manager, and they worked well together to ensure a good standard of care and support was offered to people.

Freedom to speak up

Score: 3

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. Accidents and incidents were recorded and analysed to ensure lessons were learnt. Following accidents and incidents, support plans and risk assessments were updated to reflect any changes. One staff member said, “We have a debrief with staff after incidents to look for triggers and look at how things could be done different in the future.”

Workforce equality, diversity and inclusion

Score: 3

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. Policies and procedures were in place to support staff and to ensure they were happy at work. Staff told us they completed training during their induction which covered unconscious bias, cultural competence, and the importance of inclusivity in the workplace. The service manager told us, “I have an open door policy and encourage staff to speak up should they have any concerns or worries. All information is kept confidential and only discussed on a need-to-know bases. Mencap have a speak out safely service which staff can access discreetly and independently.”

Governance, management and sustainability

Score: 3

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. Accidents and incidents were recorded and analysed to ensure lessons were learnt. Following accidents and incidents, support plans and risk assessments were updated to reflect any changes. One staff member said, “We have a debrief with staff after incidents to look for triggers and look at how things could be done different in the future.”

Partnerships and communities

Score: 3

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement. Staff and leaders worked in partnership with external professionals and ensured people had access to the right support. Staff and leaders supported people to maintain links in the community and assisted people to attend social events and day services.

Learning, improvement and innovation

Score: 3

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. Accidents and incidents were recorded and analysed to ensure lessons were learnt. Following accidents and incidents, support plans and risk assessments were updated to reflect any changes. One staff member said, “We have a debrief with staff after incidents to look for triggers and look at how things could be done different in the future.”