HAIL - Domiciliary Care Service

HAIL- Domiciliary Care Service provides support to adults who have a learning disability. At the time of the inspection 8 people were receiving personal care. This was based in the areas of Haringey, were the provider we're supporting 3 people that lived in their own flats, and 2 supported living services. The Care Quality Commission 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.

People's experience of using this service and what we found

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support:

There were appropriate staffing levels to meet people's needs and the provider carried out recruitment checks to ensure that staff were recruited safely. The service took steps to help prevent the spread of infections. Medicines were managed in a safe way. People who used the service 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.

Right Care:

People told us they were treated with kindness and their privacy was respected by staff. People felt supported to express their views and were involved in making decisions about their support with help from their families. People's support plans were detailed and person-centred .

Right Culture:

People's relative's spoke positively about the management team and staff. The service carried out a range of audits to ensure a good quality service was provided. Staff understood people’s needs well. This enabled people to receive compassionate and empowering care that was tailored to their individual support needs. Staff knew and understood people well.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

At the last inspection we rated this service good (published 07 March 2018)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We have made 2 recommendations in relation to the provider sending feedback questionnaires to people and relatives and ensuring that statutory notifications are completed and sent to CQC.

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 to people living in ‘supported living’ settings. 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.

HAIL- Domiciliary Care Service provides support to adults who have a learning disability. At the time of this inspection there were eight people using the service.

The service was last inspected in November 2015 the service was rated ‘Good’. At this inspection we found the service remained ‘Good’.

The care service 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.

People told us they were well treated by the staff, felt safe with them and trusted them.

Staff knew how to recognise and report abuse and they understood their responsibilities in keeping people safe. Staff understood that people were at risk of discrimination and knew people must be treated with respect. Staff understood there were laws to protect people from discrimination.

Where risks to people’s safety had been identified ways to mitigate these risks had been discussed with the person and recorded so staff knew how to support the person safely.

The service was following appropriate recruitment procedures to make sure that only suitable staff were employed.

Staff had completed training in the management of medicines however no one using the service currently needed any support with their medicines.

Staff were provided with the training they required in order to support people effectively.

Staff offered choices to people as they were supporting them and people told us they felt involved in making decisions about their care.

People confirmed they were involved as much as they wanted to be in the planning of their care and support. Care plans included the views of people using the service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The management and staff were quick to respond to any changes in people’s needs and care plans reflected people’s current needs and preferences.

People told us they had no complaints about the service but said they felt able to raise any concerns without worry.

The service had a number of quality monitoring systems and people confirmed they were asked about the quality of the service and had made comments about this.

Staff were positive about the management and understood the vision and values that underpinned the service.