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Totnes Domiciliary Care Service (South Devon Support Service) Good

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

Inspection Summary

Overall summary & rating


Updated 18 September 2019

About the service

Totnes Domiciliary Care Service (South Devon Support Service) is a supported living service providing personal care and support to people with a learning disability who live in their own homes or supported living accommodation. The service supports some people on a 24-hour basis and others at specific times, enabling people to live independently. At the time of the inspection the service was supporting 12 people, seven of whom lived in two shared homes, and five lived in their own homes. Nine people required support with their personal care. Where staff were required to support people overnight, there were sleep-in facilities.

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.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the management team at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

People received a safe service. People were protected from the risk of abuse as staff received training in safeguarding adults and were aware of their responsibilities to protect people. During our visits we observed people to be relaxed in staff’s presence, and we saw they made eye contact with staff and smiled.

Risks associated with people’s care needs were assessed and management plans guided staff about how to mitigate risks and what action to take in an emergency. Where people exhibited behaviours that could place themselves or others at risk, they were supported safely without imposing unnecessary restrictions on them. People’s medicines were managed safely.

Staff were safely recruited and well trained. The services supervision and appraisal systems provided staff with opportunities to develop their career. People and relatives were involved in the selection of staff.

Care plans were detailed and described people’s support needs and how staff should provide care in line with their preferences and best practice. Staff worked closely with other healthcare professionals to ensure people’s needs were well understood and met.

The service respected people’s rights to make their own decisions and staff had a good understanding of the principles of the Mental Capacity Act 2005. 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 were treated with respect. Staff told us the service was inclusive and supported people’s relationships with others, including those of same sex relationships.

People’s independence was promoted, and emphasis was placed oin developing people’s skills and conf

Inspection areas



Updated 18 September 2019

The service was safe.

Details are in our safe findings below.



Updated 18 September 2019

The service was effective.

Details are in our effective findings below.



Updated 18 September 2019

The service was caring.

Details are in our caring findings below.



Updated 18 September 2019

The service was responsive.

Details are in our responsive findings below.



Updated 18 September 2019

The service was well-led.

Details are in our well-Led findings below.