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Affinity Trust - Domiciliary Care Agency West Kent Good Also known as Affinity Trust

Inspection Summary


Overall summary & rating

Good

Updated 25 January 2020

Affinity Trust Domiciliary Care Agency West Kent provides care and support to people living in shared houses and individual flats called ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. The service supported 28 people living with learning and physical disabilities living in 15 locations across Kent.

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 continued to receive a personalised service. Staff knew people well and care plans were comprehensive and detailed to guide staff in how to provide care in the way people preferred. People were leading full and active lives and were supported to express their views and to be involved in decisions and choices about their care.

Staff understood their responsibilities for safeguarding people from abuse. Alerts had been raised and investigated appropriately. Risks to people were assessed and managed. People were supported to take positive risks and were encouraged to remain as independent as possible. There were enough suitable staff to care for people safely. People were receiving their medicines in line with their prescription. Incidents and accidents were recorded and monitored to ensure that lessons were learned when things went wrong.

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.

Staff received the training and support they needed to be effective in their roles. New staff received a comprehensive induction. One new staff member described how this had helped them to feel confident in their new role. Staff described good communication and effective team work. Support from health care professionals was sought when needed and people were supported to have enough to eat and drink and to maintain a healthy diet.

People were supported and encouraged to express their views and to make decisions about their care and support. Information was provided to people in accessible formats depending upon their needs. Staff respected people and treated them with dignity and respect. Staff spoke with affection about the people they were caring for and knew people well. People were treated with kindness and staff promoted and supported their independence.

Complaints and concerns were recorded and responded to appropriately. People were supported to maintain relationships that were important to them. Care was responsive to people’s needs and preferences. People were supported to plan for end of life care.

The service was well led, there were

Inspection areas

Safe

Good

Updated 25 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 25 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 25 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 25 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 25 January 2020

The service was well-led.

Details are in our well-Led findings below.