About the service QRC Dom Care is registered to provide personal care for adults, some of who may be living with a learning disability or other complex conditions such as autism spectrum disorder. People supported by this service either live in their own homes, or in shared accommodation with others. 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 were 25 people being supported with their personal care delivered from several supported living sites.
People’s experience of using this service and what we found
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.
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 exceptional in encouraging people to live as full a life as possible and supported them to achieve the best possible outcomes. People's confidence, independence and wellbeing had improved since they began using the service. Several relatives told us being supported by the service had been lifechanging for their loved one.
Staff were passionate about ensuring people had access to a wide range of personalised and group activities and were supported to have a say in all aspects of how the service was delivered. People were supported to have as many opportunities as possible, and staff were dedicated to supporting people gain new skills and live more independently.
People received personalised care that was exceptionally responsive to their needs. People were genuinely encouraged to express their hopes and dreams and the service looked for innovative ways to make these a reality. Staff knew people especially well and used this knowledge and support them to achieve their goals. People's achievements were recognised and celebrated.
Staff had formed genuine, positive and warm relationships with the people they supported and looked for ways to make them feel valued. Staff were creative and looked for inclusive ways to ensure all people's views were sought out and acted upon.
The service was exceptionally dedicated to making sure people were enabled to maintain relationships with those who mattered to them. Their relatives described staff as wonderful and amazing and professionals described the staff as knowing people especially well, and the management as being experienced, knowledgeable, very responsive and compassionate.
People's health and wellbeing was closely monitored to ensure they received timely and appropriate treatment.
People were supported by staff who had been recruited using safe and robust processes, and who had comprehensive knowledge and were supported to develop their skills to fully meet people’s needs. There were enough staff to meet people's needs in an inclusive way.
People were supported by a consistent staff team who were aware of the risks to people and knew how to manage these safely. People were supported to take positive risks to promote their independence.
Staff were aware of safeguarding procedures and knew the correct action to take if they suspected abuse had occurred. Medicines were administered, stored and disposed of safely and people were supported to manage their own medication where they could. Infection control practices were robust.
Staff were always considerate of people's feelings and treated people with the utmost respect and dignity. People were supported in a way that enabled them to have an excellent quality of life.
People had enough to eat and drink and where people were nutritionally at risk this was identified, and people were supported appropriately with input from professionals when needed.
Staff understood and knew how to help people make decisions and give their consent to treatment with reference to the appropriate legislation. 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. Where restrictions were in place this was in line with appropriate guidelines.
People benefitted from a service that had a dedicated registered manager whose experience was used to support people to lead truly full and meaningful lives. Robust quality assurance processes ensured the safety, high quality and effectiveness of the service. The values of the provider were consistently demonstrated by staff in their interactions with people and with each other.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection:
The last rating for this service was Good (report published 22 February 2017)
Why we inspected:
This was a planned comprehensive inspection scheduled to take place in line with Care Quality Commission (CQC) scheduling guidelines for adult social care.
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.