Evergood Medicals Limited

Evergood Medicals Limited is a domiciliary care agency providing and support to people in their own homes. People lived with a range of physical and mental health conditions, some people were being supported towards the end of their lives and some people lived with a learning disability. A the time of the inspection 28 people were being supported by the service.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

The registered manager had applied to add ‘people living with a learning disability’ to their service bands. There had been a delay in processing this application however, the inspection found that the registered manger and all staff had completed training in supporting people with a learning disability. Staff fully understood the principles of Right Support, Right Care, Right Culture and had applied their knowledge when supporting people.

People’s experience of using this service and what we found

Right Support: The service provides a model of care that supports people living in their own hones, maximising their choice, control and independence.

Relatives told us that their loved ones were supported in the least restrictive way and with their best interests being central to the care provided. People’s choice and independence was promoted without compromising their safety. Policies and training were provided to staff to ensure the best and least restrictive care was provided.

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: Support was person centred. People dignity and privacy were respected by an understanding and compassionate staffing team. Care plans were written in a way that described what people could do for themselves, what they enjoyed doing and what were their preferred routines. This information was provided first, ahead of the things in their lives where some support was needed.

The registered manager had forged strong working relationships with other health and social care professionals which ensured that people received the best and most appropriate support. People and their loved ones told that they felt safe when supported by staff. Safeguarding and whistleblowing policies were in place and staff told us they were confident to use these processes to safeguard and protect people if needed.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

Despite the service being new, the registered manager had developed a positive culture within staff, all of whom had an attitude towards people that was supportive, putting people’s needs ahead of everything. Staff were given enough time at care calls to carry out all support tasks and when necessary, stayed longer to help people. Staffing timetables enabled this to happen without impacting on later care calls. There were no reports of missed or late care calls.

People and their loved ones were given opportunities to provide feedback about the service. This achieved at various times during their support journey and in a variety of formats. The feedback received was overwhelmingly positive in all formats. The registered manager used feedback, analysis from auditing processes and data from complaints and accidents to share learning with staff and look for ways to improve the service further.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 21 February 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.