Lorablooms Care Services Ltd

Lorablooms Care Services Ltd is a domiciliary care agency, providing personal care to 22 people at the time of the inspection. The provider specialised in providing support to children and younger adults who had a learning disability or were on the autistic spectrum. The provider offered a supported living service, but no one was using this at the time of inspection.

Not everyone who used the service received personal care. 51 people in total were using the service, and only 22 of those received support with 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.

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

Relatives generally expressed great satisfaction with the service. This was summed up by one who said, “The carers we’ve got are the best we’ve ever had. They’re the kind of people that genuinely care. The skills required are compassion, empathy and patience. Not a single complaint.”

Systems were in place to help safeguard people from abuse. Risk assessments were in place which set out the risks people faced and included information about how to mitigate those risks. There were enough staff to meet people’s needs, and the provider had robust staff recruitment practices. Medicines were managed in a safe way. Steps had been taken to help prevent the spread of infections. Accidents and incidents were investigated so lessons could be learnt.

Initial assessments were carried out of people’s needs to see if the provider could meet them. Staff received training and supervision to support them in their role. The provider worked with other agencies to meet people’s health care needs. People were supported to eat a healthy diet and were able to make choices about what they ate and drank.

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.

Relatives told us that staff were kind and caring and treated people well. People were supported to have control and choice over their daily lives. People’s privacy was respected, and staff understood the importance of maintaining confidentiality.

Care plans were in place which set out how to meet the individual needs of people. People and relatives were involved in developing these plans, which meant they were able to reflect people's needs and preferences. The service used different ways to help communicate with people, depending on their individual needs. People were supported to engage in a variety of social and leisure activities. There was a complaints procedure in place, and this had been followed when complaints were made.

Quality assurance and monitoring systems were in place to help drive improvements at the service. There was an open and positive culture at the service which meant people, relatives and staff could express their views. The provider was aware of their legal obligations, and worked with other agencies to develop best practice and share knowledge.

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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Care provided was person-centred, based around the needs of individuals. People were able to make decisions and choices about their care, and relatives told us they felt listened to and that people were treated in line with the values of Right Support, right care, right culture. This included supporting people to lead active lives within their local communities.

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

Rating at the last inspection

This service was registered with us on 16 July 2019 and this is the first inspection.

Why we inspected

This service had not previously been inspected and we wanted to check that people were receiving safe care

and support.

Follow up

We will continue to monitor information we receive about the service.