Background to this inspection
Updated
6 June 2019
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 planned this inspection to check 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 Care Act 2014.
Inspection team: The inspection was carried out by one inspector.
Service and service type: This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: We gave the service 48 hours’ notice of the inspection visit because it is small, and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did: We reviewed information we had received about the service from the provider since the last inspection. We sought feedback from the local authority and 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 us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We visited and spoke with one person and a relative who used the service in their own home. We spoke with one relative and two staff members over the phone and with the head of operations and development, the registered manager, and the assistant manager when we visited the office. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed.
Updated
6 June 2019
About the service: Walsingham Support - North Yorkshire provides personal care to people living in their own home.
Not everyone using Walsingham Support - North Yorkshire 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 consider any wider social care provided. At the time of the inspection there were twelve people receiving a service, two of whom were supported with personal care.
People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
People’s experience of using this service: The outcomes for people using the service reflected the principles and values of Registering the Right Support. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People and their relatives told us they were happy with the service provided. Staff understood the importance of providing person-centred care and had developed positive relationships with people.
People received support where this was required, and staff encouraged their independence to live fulfilled lives free from unnecessary restriction.
Staff had received training and clear guidance was followed to keep people safe from avoidable abuse.
Where people had been assessed as at risk from any activity, support plans provided guidance for staff to provide safe care and support.
Medicines were managed and administered safely. People told us, and records confirmed people had received their medicines as prescribed.
People's records were detailed, person centred and evaluated consistently. Where agreed outcomes were not achieved, amendments were made with people's input.
Records confirmed people's input and where they were unable to consent the provider followed appropriate legislation to make sure any decisions were in the persons best interest.
Staff received appropriate induction, training, and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.
The registered manager and their deputy were passionate and creative about providing a service that was based around the needs of the individual person. Responsive to any concerns we raised during the inspection.
People and their relatives told us they were confident if they had any complaints the registered manager would address them appropriately.
The provider completed oversight of the service to ensure quality assurance remained a priority and was effective in maintaining standards and driving improvements.
Rating at last inspection: This service was registered with us on 20/05/2018 and this is the first inspection.
Why we inspected: This was a planned inspection based on the date of registration.
Follow up: We will continue to monitor intelligence 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.