Sheila-Jeans Home Care Limited

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.

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 did not always support this practice. All people currently supported had the capacity to consent to their care and support. We have recommended a formal capacity assessment is used to record people's capacity for specific decisions.

People and their relatives were very positive about the care and support provided by Sheila-Jeans Home Care. A relative said, "[Name's] had other carers; they were absolutely not a patch on Sheila Jeans."

Staff were positive about working for the service and felt well supported by the registered manager. People were supported by consistent staff who knew their needs well.

Care and support plans identified peoples support needs, provided guidance for meeting their needs and managing identified risks. People and their relatives had been involved in agreeing and reviewing the care and support plans.

People were supported to maintain their health and nutritional needs where applicable. People were supported to take part in local and cultural activities where this was part of the agreed support.

Care plans and medicines administration records were reviewed by the registered manager. Communication between people, their families, the staff team and the registered manager were good. Any issues raised were resolved.