West Lanc's Domiciliary Service

Training and supervision was ongoing however the training matrix identified some training had not been undertaken for some time we made a recommendation in relation to training. The regional manager confirmed they would review the training matrix to ensure it was up to date. Relevant capacity assessments had been completed. People, relatives and the records we looked at confirmed they had been reviewed by relevant professional to support their needs.

People received good care, feedback from people, relatives and professionals was positive about the care provided. Staff understood the importance of the care they provided.

Care plans had been completed, the regional manager confirmed that they would take action to ensure reviews were completed to ensure they were up to date. Activities were taking place however these had been impacted since the COVID-19 pandemic. Complaints were being dealt with, positive feedback was seen.

All of the staff team were supportive of the inspection and information was provided promptly. People were positive about the management team, however some feedback from staff was that they were burnt out. The regional manager confirmed their plans going forward to make improvements with the new manager who had applied to register with the Care Quality Commission. A range of audits was taking place, team meetings and questionnaires had been completed however people confirmed these had not occurred for some time.

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. 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. The model of care and setting maximised people's choice, control and independence. Care was person-centred and promoted people's dignity, privacy and human rights. The

values, attitudes and behaviours of leaders and care staff ensured people lead confident, supportive and empowered lives.