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HF Trust - Clifton Court DCA Good

Inspection Summary


Overall summary & rating

Good

Updated 21 December 2019

About the service

HF Trust Clifton Court DCA is a domiciliary care agency providing personal care to two people with learning disabilities within a supported living scheme at the time of the inspection. The service can support up to nine people.

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

People were supported to keep in touch with their relatives and maintain relationships, however communication with their relatives about important events in people’s lives and financial management was not always happening. This was an area being developed by the manager. People were also able to access local community facilities to avoid social isolation.

People were supported in ways they preferred and had positive, trusting relationships with staff. They were supported by staff who were caring and who knew them well, showed them respect and promoted their dignity. Enough staff supported people to meet their assessed needs.

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 to gain new skills and become more independent.

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 safe as staff understood how to protect people from harm and were confident reporting any concerns. The manager ensured risks were assessed and support plans gave staff clear guidance about the care and support people needed and how they preferred this delivered.

People had their medicines administered safely and staff understood how to protect people from the spread of infection and promote health living. People had regular access to various health and social care professionals when they needed them.

People were supported by staff who were motivated and empowered to provide good quality care by a manager who developed their skills, confidence and understanding of their roles.

We have made recommendations about inclusive care planning and reviews of care, effective quality assurance systems at provider level and effective, open management of people’s finances.

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 requires improvement (published 12 April 2019).

Why we inspected

The inspection was prompted in part due to concerns received about medicines and safe care and treatment. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see safe, effective and well-led sections of this full report.

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.

Inspection areas

Safe

Good

Updated 21 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 December 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 December 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 21 December 2019

The service was not always well-led.

Details are in our well-Led findings below.