Archived: Office

Office is a domiciliary care agency providing personal care to people in their own homes. 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. At the time of the inspection, there was one person receiving a regulated activity.

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

The registered manager had systems and processes in place to keep people safe. Staff had received training in safeguarding and knew their responsibilities. Risks were assessed and regularly reviewed. Accidents and incidents were recorded, and evidence of lessons learned. Safe recruitment processes were in place.

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

The person told us staff were kind and caring. A relative gave us extremely positive feedback about the registered manager and staff. Staff had completed equality and diversity training, ensuring people's rights were protected. People were involved in decisions about their care and were at the centre of the planning process. Staff respected people's right to privacy and dignity.

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.

The service was well led. The registered manager was open and transparent and there was a positive culture within the service. The registered manager sought feedback to drive improvement and make positive changes.

We have made three recommendations in relation to medicines, recruitment and end of life care.

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

Rating at last inspection

This service was registered with us on 12 October 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration.

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.