Dana Home Care

Care is delivered within a supported living model, where people's tenancy agreements are separate from their care arrangements. Staff are based within or allocated to specific services, which helps promote continuity of care and build consistent relationships.

The service provides person-centred care based on the principles of positive behaviour support and active support. People are supported to develop independence, maintain routines, and engage in activities in their local communities, including education, day services and social opportunities. Care is tailored to reflect people’s communication needs, preferences and life history, using visual aids, structured routines and personalised support approaches.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. We checked whether the service was working within the principles of the Mental Capacity Act 2005 (MCA). We found staff worked in line with the MCA and applied restrictions proportionately. Where restrictions were in place, staff recorded clear decisions and involved families or advocates. People were not subject to unnecessary restrictions and were supported to maintain choice and control over their daily lives.

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

People were supported by staff who recognised risks and responded appropriately. Staff described clear processes for identifying and escalating concerns, including seeking medical support and involving external professionals. Safeguarding systems were understood and applied consistently. Staffing levels were sufficient, and rotas showed continuity of staff, which supported consistent care delivery. Medicines were managed safely, and staff followed clear processes when administering and recording medicines.

Staff assessed support needs and delivered care based on evidence. Staff monitored changes in people’s health and wellbeing and sought advice from professionals when required. Staff sought people's consent before providing care and support and demonstrated an understanding of capacity and best interest decision-making. Staff used structure and familiarity to reduce anxiety and support wellbeing.

Staff treated people with kindness and respect. Care was personalised and reflected people’s preferences, routines and life histories. People were involved in decisions about their care and were supported to maintain independence and make daily choices. Staff responded to people’s needs promptly and adapted care to minimise distress.

Staff involved people and those important to them in care planning and reviews. The provider monitored outcomes and adapted care when support requirements changed. The service promoted equity by ensuring people had equal access to activities, healthcare and community involvement.

Leaders promoted a positive and inclusive culture. Staff described managers as visible and approachable. Governance systems included audits, monitoring and regular review of incidents and performance. Leaders reviewed learning and made improvements where needed. Staff felt supported and were enabled to deliver care that was centred on people’s needs.