About the service DHR Support Services Ltd is a domiciliary care service providing personal care to people living in their own home in the community and within supported living projects. At the time of the inspection the service was supporting people with a learning disability and autistic people and people with a mental health condition. The service was supporting three people at the time of the inspection.
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.
People’s experience of using this service and what we found
People were happy and content with the care and support they received from DHR Support Services Ltd.
Relatives of people using the service spoke positively of the service and the care and support that their family member received, stating that the service worked in partnership with them and their family member ensuring their needs were appropriately met.
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.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The model of care and setting maximises people’s choice, control and independence. Care is person-centred and promotes people’s dignity, privacy and human rights. The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
We observed people interacting with support staff in ways which assured us that people felt safe and were happy in the ways in which they were supported. Staff knew the signs to look for if abuse was suspected and told us of the actions they would take to protect people from abuse.
Support plans detailed people’s identified risks associated with their health and care needs, with clear guidance to staff on how to manage those risks to keep people safe.
Policies and systems in place gave assurance that people’s medicines were managed and administered safely ensuring people received their medicines as prescribed.
We observed sufficient numbers of staff available to assist people with their assessed needs. Recruitment processes ensured that only those staff assessed as safe to work with vulnerable adults were employed.
Support plans were person centred and detailed, giving support staff the appropriate information and guidance to support people with their needs and wishes.
Management oversight processes in place enabled the service to monitor the quality of care people received. Where issues were identified these were addressed immediately with further learning and development implemented to improve people’s experiences.
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 09 November 2017).
Why we inspected
We carried out an announced comprehensive inspection of this service on 19 October 2017. The service was rated good at that time. Due to the length of time since the last inspection, we undertook this focused inspection to check and confirm that the service continued to meet legal requirements.
We reviewed the key questions of safe, caring and well-led only to check and ensure people were receiving safe, good quality care.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
During this inspection we did not identify any areas of concern and found that the service had continued to meet legal requirements. Please see the safe, caring and well-led sections of this report for further detail.
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.