Progressive Support Services Ltd

At the time of the inspection, the domiciliary care service was supporting 70 people with their personal care needs.

We found the provider to be in breach of regulations in relation to safe care and treatment, consent to care and good governance. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

We found there was limited awareness and regard for ‘Right support, right care and right culture’ guidance. For example, the provider demonstrated no awareness of the guidance, and people’s care records did not always make reference to the principles underpinning this guidance.

Care plans and risk assessments did not always provide clear, detailed and person-centred information and guidance about people’s needs and risks. Care plans and risk assessments were not updated with new information and guidance following safety events where people were exposed to risk and harm.

The application of the principles of the Mental Capacity Act 2005 (MCA) was not always applied for individuals assessed as lacking mental capacity regarding their care.

Staff were not always recruited safely in-line with good practice guidance. Staff meetings did not take place on a regular basis. Governance arrangements were not always robust or effective, which meant there were missed opportunities to share lessons and drive service improvement.

Policies and procedures were in place to support people and staff. People received effective transitions to the service. There was a process to report concerns and we saw evidence people, relatives and staff were confident these would be taken seriously. Staff had a good awareness of people’s needs and preferences. The provider fostered a positive and inclusive environment for staff.