About the serviceCare Designed for You Ltd is a domiciliary care service providing care and support to older people and younger adults, as well as people who may be living with learning disabilities or autistic spectrum disorder, dementia, sensory impairment, or a physical disability.
Not everyone using the service receives regulated activity; the Care Quality Commission (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 our inspection, two people were being supported with personal care.
People’s experience of using this service and what we found
People’s relatives gave feedback to us on behalf of their family member because of the communication needs their family member had. People continued to receive a good service. They were safe from harm. Systems and appropriately recruited staff supported this. People’s risks were safely managed. Sufficient numbers of staff were employed to support them in taking risks. People were safely supported with handling medicines and keeping their homes clean.
Staff were trained, skilled and well supported by the provider. People had good relationships with the staff who protected their rights to lead a normal life. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
We have made a recommendation about records of people's capacity being included in their care records.
Feedback from people in surveys was that staff were kind and caring. People were respected, staff championed their privacy and dignity and encouraged their independence in all aspects of life.
Staff were motivated to provide person-centred care based on people's choices and preferences. They were dedicated and praised for this by health and social care professionals. People were supported to do the things they wanted to.
People had the benefit of a service that was positive, inclusive and forward-looking. There was a registered manager who maintained checks on how well the service was provided. All records were held electronically and securely. This ensured the confidentiality of people's information.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC’s website at www.cqc.org.uk.
Rating at last inspection
This service, under this legal entity, was registered with us on 13 July 2018 and this is the first inspection. The last rating for this service was good (published 25 January 2018). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
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 any concerning information is received, we may inspect sooner.