We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Benedon Healthcare Limited is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community and specialist housing. At the time of the inspection there were 10 people using the service.
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
Right Support
Systems and processes to ensure good management oversight of the service were in place. The provider and staff were aware of the responsibilities to safeguard people and supportive measures were in place should people become upset or distressed. The provider had processes in place to record and investigate any incidents, should they occur, to keep people safe.
Risks to people had been assessed and people’s care plans had been reviewed and updated. Staff supported people to maintain their health and wellbeing by accessing healthcare services.
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.
Right Care
People's needs were assessed prior to them receiving care and support from the service. Staff had received the appropriate training to assist them in their role to support people. Staff understood how to promote people's independence and ensured the care they provided treated people with dignity and respect. People were supported to express their views. People's communication needs had been considered and met. People’s medicines were managed safely. The provider had sufficient infection, prevention and control measures in place and staff had access to a good supply of personal protective equipment.
Right Culture
It was clear from conversations with the registered manager and all the staff, they cared passionately about the people they supported. People and their family members told us how supportive the registered manager and their staff were. Regular feedback was sought from people and their support network. Staff felt supported by the provider. Process were in place for managing any complaints.
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 requires improvement (published 21 May 2018) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to concerns received about risk assessments and support planning, recruitment and induction processes, staff training and general management of the service. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Benedon Healthcare Limited 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.