We carried out a review of the data available to us about Midlands Domicillary Branch on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Midlands Domicillary Branch, you can give feedback on this service.
Midlands Domiciliary Care is a domiciliary care and supported living agency that provides personal care and support to people living in their own homes. At the time of the inspection, 40 people received a service which included personal care. 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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People were safely supported by enough numbers of staff who had been employed through the registered manager’s safe recruitment processes. Staff received training on safeguarding and knew how to identify and report any concerns. Staff administered people's medicines as prescribed. Risks had been assessed and management plans put in place. We noted that not all risks had been acted upon in a timely manner. We have made a recommendation about this. After the inspection the identified risks were rectified.
People's needs were assessed prior to their service starting. The registered managers assessed peoples’ needs and there was a clear dedication to providing high-quality person-centred care to people, to support people to live in their own homes. Staff worked with healthcare professionals to make sure health needs were met. People were not always supported to have maximum choice and control of their lives. We found that some people had not been adequately protected as applications to the court of protection had not been made on their behalf. However, in day to day matters we found that staff supported people in the least restrictive way possible and in their best interests.
People and relatives thought staff were kind and caring. People's privacy and dignity were promoted and maintained by staff who recognised the importance of treating people respectfully. One relative said, “[The staff] are respectful - when they take [my relative] to the shower I know they put towel around him and get him dressed in his bedroom.”
People were involved in their care and were encouraged to share their views and preferences. People had personalised care plans which were regularly reviewed. People were encouraged to be independent, offered choices and their privacy and dignity was maintained. People and relatives were happy with the staff that supported them.
People, relatives and staff all felt able to approach the registered managers and were positive about their leadership style. Quality monitoring was in place and feedback was sought and used to make improvements to the service. There was a complaints policy in place which people and relatives were aware of.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the first rating of this service at this location.
Why we inspected
This service was registered with us on February 2019 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.