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 statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.About the service
Bluelight Healthcare Recruitment Limited provides domiciliary care to people in their own homes. 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. At the time of this inspection there were 10 people using the domiciliary service.
The service is also a supported living service which is registered to provide personal care. At the time of the inspection, they were supporting one person who had a learning disability and was receiving personal care. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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. This enabled people who used the service to live as full a life as possible and achieve the best possible outcomes.
Right Support
Staff had a good knowledge of people they supported and respected their privacy and dignity. They promoted people’s independence. Confidentiality of people’s personal information was maintained. People’s care needs were documented so staff could provide personalised care and support. Staff monitored people’s health and wellbeing and sought advice or guidance from healthcare professional as needed. People who required support with meals were provided with food and drinks which met their nutritional needs.
Right Care
People's needs had been assessed before they started using the service. The assessment covered areas of the person’s physical, social, psychological and cultural needs. Risks associated with people’s care and support had been assessed and there was guidance in place to keep them safe. People were supported by staff that had received appropriate training and support to do their jobs and meet people’s needs. 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. Where people did not have the capacity to consent, the staff acted in accordance with legal requirements. People were supported to maintain good health and to maintain relationships with friends and relatives.
Right culture
The provider had safeguarding policies and procedures in relation to safeguarding people. Staff understood what abuse was and the actions to take if a person using the service was being abused. There were sufficient staff to meet people’s needs and recruitment processes were safe. People were protected from the risks associated with the spread of infection. There was an open and inclusive culture in the service, with staff, people, relatives and other external professionals encouraged to help improve the service provided to people. There was an effective system in place to monitor the quality of the service and identify shortfalls. The provider worked with a number of health and social care professionals to ensure people’s needs were met.
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 18 May 2020 and this is the first inspection. The last rating for the service at the previous premises was good, (report published on 25 September 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service and because the service had not been previously rated.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.