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Domiciliary Care South Devon Good

Inspection Summary


Overall summary & rating

Good

Updated 5 October 2018

Domicilary Care South Devon is a domiciliary care agency. The service provides care and support to people with learning disabilities living in 'supported living' settings, so that they can live in their own homes as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living. Not everyone who uses the service receives a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. At the time of the inspection the service was supporting twenty-six people in a supported living setting.

This inspection took place on 21 and 22 August 2018 and was announced. The provider was given 24 hours' notice because the location was a domiciliary care agency and we needed to be sure that someone would be present in the office.

The service has been developed 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. By following these principles, services can support people with learning disabilities and autism to live as ordinary a life as any other 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.

People told us they felt safe and comfortable with the staff that supported them. All of the people we met looked relaxed and happy. When we asked one person if they felt safe with staff they told us, “Yes definitely.” People were protected from the risks of abuse and harm. Staff had received training in safeguarding adults and knew how to recognise signs of potential abuse. They understood how to report any concerns in line with the service's safeguarding policy and were confident any issues would be dealt with thoroughly.

People were supported by kind and caring staff who treated them with dignity and respect. People's individuality was respected and encouraged. Support plans emphasised people's abilities and reminded staff to promote people's independence. Support plans were informative, detailed and reflected people's choices, aspirations and personalities. Each area of the plan reflected how the person wished to receive their care and support, described the person’s skills and the support they needed from staff.

People were supported to live life the way they wanted to, and staff knew people's interests and how they preferred to spend their time. Every element of the care and support that staff provided was focused upon the preferences, aspirations and needs of people using the service. Social needs of people were given as much importance as people's physical needs. Staff recognised that social interaction improved people's wellbeing and promoted a positive emotional response.

Support plans contained person-centred risk assessments. These identified risks and described the measures to be taken to ensure people would be protected from the risk of harm. This supported people to do the things they wanted to live their life fully. Where risks had been identified, management plans were developed to help ensure support staff knew how to support people safely.

Recruitment procedures were robust and records demonstrated the service had carried out checks to help ensure staff employed were suitable for their role. Staff received appropriate training and support to effectively provide safe care and treatment. Newly appointed staff undertook a comprehensive induction programme, shadowed more experienced staff, and did not

Inspection areas

Safe

Good

Updated 5 October 2018

The service was safe.

People were protected by robust recruitment procedures and appropriate checks were undertaken before staff started work.

People were supported by enough staff to meet their needs.

People were protected from harm as the provider had systems in place to recognise and respond to allegations of abuse.

Staff understood the risks people lived with and their role in minimising risk whilst respecting people's choices and freedoms.

Effective

Good

Updated 5 October 2018

The service was effective.

People were supported by skilled and experienced staff who received regular training and supervision, and who were knowledgeable about people�s needs.

People were supported to make decisions about their care by staff who had a good understanding of the principles of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People were supported to maintain a healthy balanced diet and supported to access health professionals to ensure their health needs were met.

People had timely and appropriate access to healthcare.

Caring

Good

Updated 5 October 2018

The service was caring.

People who used the service had developed positive, caring relationships with their support workers.

Staff had a good knowledge of people, their families and important events in their lives.

People were supported by staff that promoted independence and respected their dignity.

People and their relatives were involved in making decisions about their care and support.

Responsive

Good

Updated 5 October 2018

The service was responsive.

People benefitted from care plans that described their day to day health and personal care needs in detail

People received personalised care that was responsive to their individual needs

People were encouraged to maintain hobbies and interests. Staff understood the importance of companionship and social contact.

People felt confident they could raise concerns and these would be listened to and dealt with promptly.

Well-led

Good

Updated 5 October 2018

The service was well-led.

The service was well-led. There was an open culture. The management team were approachable and defined by a clear structure.

Quality assurance systems drove improvements and raised

standards of care.

Records were well maintained and stored securely.