- Homecare service
Archived: Borough of Lewisham
Report from 2 February 2024 assessment
Contents
Ratings
Our view of the service
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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. Right Support: Risks to people’s health and wellbeing were not managed well and we found numerous issues with the risk assessments and care plans. People received their care visits at regular times from regular staff. Right Care: Care records were not always person-centred. Staff told us they were supported by senior staff to enable them to carry out their role. However, we found numerous issues with records related to staff induction, training and supervision so we were not assured the provider’s processes were robust. Right Culture: The service was not always well managed. The provider’s quality assurance processes had not identified the issues we found. Borough of Lewisham is also known as First Choice Social Care & Housing Ltd and is a domiciliary care agency providing personal care and support to people with a variety of care needs living in their own homes. CQC only inspects where people receive personal care. This includes help with tasks related to personal hygiene and eating. Where people receive such support, we also consider any wider social care provided. We visited the office location on 21 February and 28 February 2024. We continued to review information we received until 7 March 2024.
People's experience of this service
People told us they received safe and effective care that met their needs and preferences. They received care visits at regular times from staff that knew them well. A person’s relative had been consulted about the person’s care needs and risks but had not seen the care plans and risk assessments. The relative told us they knew how to raise concerns with the registered manager but did not have any issues or concerns with the quality of care delivered.