About the service 66 Bradstocks Way is a domiciliary care service providing personal care to children aged from 13 to 18 and people living with learning disabilities or autistic spectrum disorder. The CQC only inspects where people receive personal care, which is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. Two people received the regulated activity of personal care at the time of our inspection.
People’s experience of using this service and what we found
The service was extremely responsive to people’s needs and wishes. This was reflected in multiple examples of the service’s creativity in supporting people and their families during the pandemic. The service promoted reasonable adjustments in innovative ways to encourage people’s independence. People’s relatives told us that staff went over and above the call of duty and people said this made a difference to their lives.
People’s relatives were delighted with the kindness and thoughtfulness of staff, which exceeded their expectations of how people would be cared for and supported. They said staff went over and above providing care so satisfactory that they couldn't ask for anything more. Relatives told us the support their family members received improved their well-being. Relatives consistently referred to the registered managers and staff as kind and caring people. Relatives told us they valued their relationships with the staff who supported them and the support provided often exceeded what they had requested.
People received safe care from staff who had been trained to protect people and identify signs of abuse. Risk assessments were implemented and reflected the current level of risk to people. Staff understood their responsibilities to report any concerns and followed the provider's policies in relation to safeguarding and whistleblowing.
There were enough staff to keep people safe and appropriate arrangements were in place for emergency staff cover. Recruitment processes were designed to ensure only suitable staff were selected to work with people.
Staff managed medicines consistently and safely. People and their relatives told us people received their medicines at the times they needed them, and they were happy with the support they received.
People were provided with have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service promoted this practice.
People chose the food and drink they preferred and were supported to eat healthily. People had detailed plans to help staff and health professionals provide the care and support they needed to remain healthy and manage any existing health conditions.
The registered managers led their team by example, showing strong, inclusive and innovative leadership that focused on enhancing the service and creating positive outcomes for people.
There were systems in place to monitor the quality of the service and staff reflected on their practice to identify and implement changes when required.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: People's choice was maximised, and they were supported to develop more control and independence.
Right care: Care was person-centred and promoted people's dignity, privacy and human rights.
Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensured people lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection This service was registered with us on 13/11/2019 and this is the first inspection.
Why we inspected
This was the first inspection of the service.
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.