About the service Bellcare Domiciliary Care Services Ltd is a domiciliary care service providing personal care to older and younger adults, including people living with dementia, physical disabilities and learning disabilities and/or autism. The service was supporting 164 people at the time of our inspection.
Not everyone who used the service received personal care. The Care Quality Commission (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.
People’s experience of using this service and what we found
People received safe care from a consistent staff team, who were knowledgeable about how to keep them safe. People were supported by the provider to take positive risks. People were protected from abuse and avoidable harm. The provider had systems in place to escalate any concerns identified and learn lessons when incidents occurred.
People’s care was effective. Robust assessments of people’s care needs and detailed care plans were used to drive person-centred care that met their needs. Staff had the knowledge, skills and experience to provide care to people. People were supported to receive coordinated care from the provider and alongside other health and social care services.
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.
People and their relatives consistently praised the caring approach staff demonstrated. One relative said, “The staff are so kind and caring, nothing is too much trouble for them, I know when I can’t visit [person] will be fine.” People felt respected and treated with dignity.
People received responsive, individualised care. The provider regularly reviewed people’s care and made changes to ensure it remained appropriate. People and their relatives knew how to raise concerns or complaints, with effective systems in place to ensure these were addressed and improvements sustained.
The provider had a strong value base and vision, reflected in the care people received. One care worker said, “We are trying to help people be as independent as possible and are person-centred with every person. We always work to these values.” This value base motivated care staff to provide consistently high quality care to people and supported the provider to strive to make further improvements.
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
¿ The service supported people to have the maximum possible choice, control and to independence They had control over their own lives.
¿ Staff focused on people’s strengths.
¿ Staff supported people to pursue their interests and access their local area.
Right Care
¿ Staff promoted equality and diversity in their support for people.
¿ People received kind and compassionate care. Their privacy and dignity were protected.
¿ The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right culture
¿ People received good quality care.
¿ Staff knew and understood people well and were responsive.
¿ People’s wishes, needs and rights were at the heart of everything the service did.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
The service was registered with us on 13/07/2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service and based on when the service was registered.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.