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Choice Support Havant Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 May 2020

About the service

Choice Support Havant is a domiciliary care agency providing personal care to four people at the time of the inspection. 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.

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 provider did not have effective systems to monitor the service and drive the necessary improvement. At times, there was a lack of detailed records regarding support plans and risk assessments.

Medicines were not always managed safely. Where people had ‘as required’ medicines these were not always managed safely, and medicines competency checks were not completed on a regular basis.

Consent had not been sought in relation to certain aspects of care. We have made a recommendation about this.

Staff had not always had formal supervision although told us they felt well supported. We made a recommendation about this.

People were positive about the support they received with food and fluid. However, where they needed speech and language therapy guidance, this was not always evidenced. People were cared for by staff who received appropriate training.

Despite this, people were happy being supported by Choice Support Havant and told us they felt safe.

Staff understood their responsibilities to protect people from abuse. The recruitment process was robust and there were enough staff to meet people’s needs. People told us they received consistent support from staff.

People were supported by staff who were kind, caring and who understood their likes, dislikes and preferences. People had access to information in formats that were appropriate for them.

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 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.

The registered manager demonstrated a willingness to make improvements. During the inspection they began reviewing some of their systems and processes, to ensure the service consistently provided good, safe, quality care and support.

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

Rating at last inspection

The last rating for this service was good (published 24 October 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will request an action plan from the provider to understand what they will do to improve the

Inspection areas

Safe

Requires improvement

Updated 1 May 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 1 May 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 1 May 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 1 May 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 1 May 2020

The service was not always well-led.

Details are in our well-Led findings below.