You First Support Services CIC

Updated 10 September 2024

You First Support Services CIC is a domiciliary care agency which provides personal care in people's own homes. 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. Assessment activity started on 17 September 2024 and ended on 11 October 2024. We visited the provider’s offices on 25 September 2024 and 2 October 2024. We visited 1 person who used the service and their relative on 4 October 2024. This was a responsive assessment due to a specific concern raised with us about the service. We did not assess all quality statements at this assessment. We reviewed 2 quality statements in both the Safe and Well-led key questions. For those areas we did not assess, we used the ratings awarded at the last inspection to calculate the overall rating. At our last inspection, the service was rated good. At this assessment, the service has been rated requires improvement.

Updated 10 September 2024

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. The provider was not able to demonstrate how they were meeting all of the underpinning principles of Right Support, Right Care, Right Culture. Right Support People had not always received the care and support they needed to live full, safe and happy lives. Right Care Staff had training on how to recognise and report abuse to ensure people were safe. People were not always kept safe in line with the provider’s policy and procedures. One person had been mistreated by a senior staff member. Concerns raised by another staff member and a relative about this staff member had not been acted upon promptly. Right culture The provider had clear policies for staff to follow. These policies had been breached by a senior member of staff for a significant amount of time without any provider intervention. The provider had improved management systems and processes in the last 18 months since 2 new senior leaders had been in post. However, despite these improvements, a senior member of staff had failed to embody the culture and values of the organisation. There was a willingness to learn from this issue, improve some policies and the specific practice in relation to listening to concerns and responding to them irrespective of the person's role or standing in the organisation.