6 March 2020
During a routine inspection
Chailey Heritage Pathways is a domiciliary care agency providing support to five people. Personal care was provided to three young people living with complex and multiple disabilities 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 supported safely by a staff team who understood how to identify and report any concerns about people’s safety or wellbeing. Risks were recognised and assessed. There were enough staff available to support people as planned. However, some people wanted more care visits to be provided by the service and staff recruitment was taking place to be able to provide these. Medicines were managed safely. Infection prevention and control was well managed. When things went wrong, lessons were learnt and ways to reduce the risk of reoccurrence were implemented.
People’s needs and choices were assessed before they started using the service. Staff worked with people, their families and other professionals to understand people’s needs. Staff were supported with induction, training and supervision to ensure they had the right skills to support people. People were supported to live healthy lives.
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 were treated with kindness and care. People were supported to make decisions about their day to day care and support. People’s independence was promoted. People’s privacy and dignity was respected.
People were supported by staff who knew them well and had shared interests. Care plans were regularly reviewed to ensure they received the right support. People were supported to follow their interests and their communication needs were assessed and understood by staff. Complaints were well managed.
The service had a positive and person-centred culture. Staff were proud to work there. Staff felt well supported by the nominated individual and their colleagues. A quality assurance framework supported the continuous improvement of the service. People’s families were engaged with for feedback and action was taken to improve the service. Staff worked in partnership with other professionals.
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 21 September 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.