Barnsley Disability Services Limited

Updated 24 November 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 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.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

We visited the offices on the 9 November 2023 and made phone calls to people, relatives, and staff on 7 November 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and other professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send to us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 6 relatives about their experience of the care provided. We spoke with 3 members of staff including the registered manager and care staff.

We viewed a range of records. This included 4 people's care records and medication records. We looked at 3 staff files in relation to recruitment and a variety of records relating to the management of the service.

Updated 24 November 2023

About the service

Barnsley Disability Limited Services is a domiciliary care service providing personal care to people in their own houses and flats in the community. At the time of our inspection there were 15 people using the service. 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 the service and what we found:

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support

People and their relatives were happy with the care they received. People received care and support from staff who knew them well and understood their individual needs and preferences. There were enough staff to meet people's needs and keep them safe.

People’s care plans were comprehensive and personalised. Risks to people were assessed and managed. People were supported with their medicines and their dietary needs by staff trained and competent to do so.

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.

Right Care

People were supported by staff who were exceptionally kind and caring. Staff protected and respected people's privacy and dignity. Staff provided personalised care and support to promote people's wellbeing, enhance their quality of life and to achieve positive outcomes. Staff were trained and understood how to protect people from poor care and abuse. The service worked well with other agencies to do so.

Right Culture

Staff were safely recruited and provided continuity in care. Staff received an induction and training which included areas of care and support, infection prevention and control, and person-specific training. Action was taken to ensure systems to monitor staff training was kept up to date. Risks to people were managed effectively and safely and people and their relatives were involved in planning their care.

Quality systems were in place to monitor the quality of service to enable the provider to improve the service and the lives of people supported. The registered manager understood their role and responsibilities. Staff placed people's wishes, needs, and rights at the heart of everything they did. The management and staff worked with external agencies and health and social care professionals.

People and their relatives told us they felt confident to approach the management team and their feedback or complaints would be listened and responded to. The management team had a shared commitment to the culture and values of the service, where people remained at the centre of their care and support.

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 20 October 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Barnsley Disability Limited Services 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.