20 March 2023
During an inspection looking at part of the service
365 support services is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. The service also provides care and support to people living in 11 'supported living' settings, so that they can live in their own home as independently as possible.
People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.
Not everyone using 365 support services receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. The service currently provides a service to 82 people and supports 1 person with a regulated activity.
People’s experience of using this service and what we found
Although, risks to people were identified and managed and mitigated by staff to lessen the risk of harm to people, further information was required in peoples' support plans, to ensure sufficient guidance to staff. We have made a recommendation about this.
Accidents and incidents were recorded appropriately and analysed for any patterns or trends to help prevent the risk of recurrence.
People received their medications as prescribed and by staff who were trained and competent.
Staff recruitment processes ensured staff were safe to work with people. In addition to mandatory training, staff received more specialised training, to help deliver care to people which was tailored to their specific health and support requirements.
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.
We observed staff support and interact with people in a respectful way. It was evident staff enjoyed close relationships with the people they supported.
The management team was committed to delivering high-quality and individualised care to people, staff understood, shared and practiced these values. However, governance processes required review to ensure their efficiency. We have made a recommendation about this.
Although people were invited to provide feedback on the service, improvements were required to quality assurance arrangements. We have made a recommendation about this.
The service worked in collaboration and partnership with other relevant organisations to help achieve better and more positive outcomes for people.
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 (report published 29 August 2018).
Why we inspected
We received concerns in relation to potential incidents and staffing. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 365 Support 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.