Fylde Domiciliary Service

Updated 22 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a scheduled comprehensive inspection. The inspection took place on 13 and 21 February, and 01 March 2018. The inspection was unannounced on the first day.

This inspection was carried out by an adult social care inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert had personal experience of supporting people with a learning disability, communication difficulties and autistic spectrum disorder.

Prior to the inspection we reviewed all the information we had available about this service, including notifications from the provider about significant events and the provider information return (PIR). The PIR gives the provider chance to tell us key information about the service, what the service does well and any improvements they plan to make.

During the inspection we visited and spoke with three people in their own homes. We also spoke with seven relatives of people who received support. We spoke with seven staff members, including the registered manager.

We reviewed the care records of four people who used the service, as well as medication administration records for three people. We looked at the recruitment records of three staff and records related to the management of the service.

Updated 22 May 2018

Fylde Domiciliary Service is a supported living service. This service provides care and support to people living in ‘supported living’ setting, 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 is managed from accessible offices in Kirkham, Lancashire.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff files contained evidence the registered manager had undertaken checks to reduce the risk of recruiting unsuitable staff. People and staff we spoke with said there were sufficient staffing numbers to meet people’s needs. Medicines were managed properly and safely.

People we spoke with and relatives told us staff involved them in support and care planning. The registered manager supported people to access advocacy services if people wanted someone independent to act on their behalf.

Care records we looked at were detailed and personalised to people’s requirements. We observed staff followed agreed support in practice. This ensured responsive care planning matched people’s ongoing needs.

The registered manager sought feedback about the quality of care and the development of the service. This was underpinned by ongoing checks on the quality of the service, to monitor everyone’s safety and welfare.

Further information is in the detailed findings below.