21 June 2017
During a routine inspection
Greenwich Mencap provides a diverse range of support services including domiciliary care support for adults and children with learning disabilities and their families in the Royal Borough of Greenwich. The service aims to promote people’s independence and well-being, encouraging involvement within the community, as well as providing respite services for families. At the time of our inspection the service was providing support to approximately 27 people.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
At this inspection we found assessments were in place and conducted to support people where risks to their health and welfare had been identified. There were appropriate safeguarding and whistle-blowing procedures in place and staff had an understanding of these procedures. Appropriate recruitment checks took place before staff started work and we saw there was enough staff to meet people’s needs.
The registered manager and staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. Staff completed an induction when they started work and received training relevant to the needs of people using the service. Care plans detailed people’s nutritional and support needs where required. People had support to access health and social care professionals if required. People were provided with appropriate information about the service and were consulted about their care. Care plans were in place that provided information for staff on how to support people safely and appropriately. People said staff were kind and their privacy and dignity was maintained. People were aware of the complaints procedure and we saw complaints were managed appropriately.
There were systems in place to monitor the quality of the service provided to people. The provider conducted observations of staff and people using the service to ensure people were supported in line with their care plans. There was an electronic call monitoring system in place which ensured people received support when required. Staff were provided with opportunities to share good practice and provide feedback about the service and the provider was in the process of implementing a service user feedback form.