9 November 2023
During an inspection looking at part of 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.