We carried out a review of the data available to us about Eden Futures = Newark Regional Office 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 Eden Futures = Newark Regional Office, you can give feedback on this service.
Newark Regional Office is a domiciliary care agency that was providing personal care to 21 older people, people living with a dementia, people with learning disabilities or autistic spectrum disorders, physical disabilities and mental health conditions at the time of our inspection.
The service was divided into two parts. One provided support to people with general personal care needs and the other to people with more complex and specialist needs. Both operated out of the same office location with the same registration, policies and procedures.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
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
We have made a recommendation about involving people in decisions about their care. People received person-centred support. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
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.
Risks to people were assessed and addressed. Medicines were managed safely. People were supported by staff who had been safely recruited.
Staff were supported with regular training, supervision and appraisal. 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 received kind and caring support. Staff worked to maintain and promote people’s dignity and independence.
Quality assurance systems had not identified or addressed issues in relation to best interest decisions and communication but registered managers told us how they would improve this. The service had strong links with the local community.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good. (report published October 2016).
Why we inspected
This was a planned visit under our inspection programme.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
There was an area manager (manager) in place who had applied to become the registered manager for the service. Their application was still being processed. The manager was available during the 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 received safe and effective care from staff. Staff had a good understanding of the various types of harm and their roles and responsibilities in reporting any safeguarding concerns.
Staff had information available about how to meet people’s needs.
There were sufficient numbers of staff to meet people’s care needs and staff were recruited safely. Staff received regular training and supervision and were able to reflect on the care and support they delivered.
People received their medication as prescribed. Staff were able to explain the process they followed when supporting people to safely take their medication.
People’s rights were protected under the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their nutritional needs. External health professionals were involved in people’s care when required.
People’s care plans reflected their individual needs and personal wishes. People and their relatives were involved in the development of their care plans and these were reviewed regularly.
The service encouraged feedback from all people involved with the service. A complaints process was in place. People and relatives felt able to make a complaint and felt confident that staff would respond appropriately.
People were very satisfied with all aspects of the service provided and spoke highly of both staff and management team. People received care and support from kind and caring staff, who respected their privacy and dignity at all times.
People had confidence in the manager and the way the service was run. There were systems in place to monitor and improve the quality of the service provided. The vision and values of the staff team were person-centred and made sure people were at the heart of the service.
We found people gave consent to their care and received care and support that met their needs. A person who used the service told us, 'I get to decide what I want to do, if I want to cook something I say so.' A relative told us, 'We feel the service is very very good. They do what we want, if they say they are going to be there they are there.'
We found people who used the service were kept safe and protected from harm. Staff knew how to respond to any allegation of abuse. We asked a person if they felt safe in the home and they replied, 'Staff tell us to lock doors and to be careful crossing roads. They make sure I am safe.'
We found there were sufficient staff to meet people's needs. A person told us, 'We have the same staff, they know what they are doing.' We found the provider assessed and monitored the quality of the service. 'We have house meetings, we talk about all sorts, we say if anything needs repairing.'
We were unable to speak or observe any people who used the service as none came to the office during this inspection. However their experiences were captured through records and other information we received from workers involved in their support and care.