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Mencap - Norwich Domiciliary Care Agency Good

Inspection Summary


Overall summary & rating

Good

Updated 30 August 2019

About the service

Mencap - Norwich Domiciliary Care Agency provides services to people living in their own homes. At the time of the inspection, 19 people were receiving a regulated activity of ‘personal care.’

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 and what we found

People received person-centred, specialist care and support including at the end of their lives. Staff worked closely with healthcare professionals to ensure people’s pain levels were well managed, and they received dignified care. Staff demonstrated skills and receipt of specialist training in relation to the support provided to people with complex epilepsy.

Staff showed kindness and compassion and placed value on their caring role and involvement in people’s lives. People were offered a choice of meals and staff closely monitored people assessed to be at risk of poor food and fluid intake.

The service worked in partnership with people and their families and encouraged feedback on the care provided. Staff told us they enjoyed working for the service and spoke highly of the support and encouragement provided by the registered manager.

People had their care and support needs met by sufficient numbers of suitably trained staff. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems in the service supported this practice.

The service had good governance arrangements in place and completed internal quality checks and audits. Findings from these were regularly reviewed by the registered manager and provider.

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.

Rating at last inspection The last rating for this service was Good, (report published 09 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

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

Inspection areas

Safe

Good

Updated 30 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 30 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 30 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 30 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 30 August 2019

The service was well-led.

Details are in our well-Led findings below.