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. 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.
About the service
Filcare Ltd is a domiciliary care agency providing personal care for 15 people at the time of the inspection. The service is registered to provide support for older people and younger adults who may live with physical disabilities, sensory impairment, mental health needs, dementia, eating disorders, learning disabilities or autism.
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:
People were encouraged to be involved in planning how their care needs would be met. 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. Care workers understood the importance of providing respectful and dignified person-centred care tailored to people’s individual needs.
Care workers had received training and demonstrated a clear understanding of how to provide safe and effective care and support. Additional specialist training was provided to enhance care workers’ understanding of people’s medical conditions.
People were safeguarded from abuse and care workers were knowledgeable about how to support people safely. Accidents and incidents were recorded and shared with the wider care team to promote learning.
Right Care:
People had detailed risk assessments and care plans in place to support care workers to provide safe and consistent care and support.
The provider operated a robust recruitment process which helped to ensure people received care and support from care workers who had been safely recruited and inducted into care.
People were supported by caring and kind care workers who knew their likes and dislikes.
Right Culture:
The provider had developed a quality assurance system encompassing all aspects of the service delivery. The registered manager undertook a range of routine checks to satisfy themselves the service was performing safely and in line with regulation.
The provider and management team had developed an open and inclusive culture in the service. They empowered the care team to truly promote people’s individuality, protected their rights and supported care workers to develop and flourish.
We received positive feedback from people, their relatives and staff about the management team. Everyone we spoke with, including external professionals, said the management team were approachable and responsive.
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 03 May 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.