22 December 2022
During an inspection looking at part of the service
Wisteria Care is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults and younger disabled adults. At the time of the inspection the service supported 99 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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
Improvements had been made. The service was now working within the principles of the Mental Capacity Act 2005. People were supported to make individual decisions. Where they lacked capacity, the service ensured those important to them were involved and acted in their best interest.
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.
Staff supported people to access specialist health and social care support in the community when required.
Right Care
Care plans reflected a good understanding of people’s needs. This included their needs, abilities and preferences. Training and refresher courses helped staff continuously apply best practice. This included training in how to support people with a learning disability and autistic people. Staff encouraged people to eat a healthy and varied diet to help them to stay well.
Right Culture
People and those important to them, including advocates, were involved in planning their care. People received good quality care and support because trained staff could meet their needs and wishes.
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 good (published 27 October 2022).
Why we inspected
This was a focused inspection to see if the service had improved under the Effective domain. This domain was rated requires improvement in 2018 (published 16 May 2018). At this inspection we found improvements had been made.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Wisteria Care on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.