Domiciliary Services

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support 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 service was not able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: Model of care and setting does not maximise people's choice, control and Independence. People were not always able to go out to do things they enjoyed which impacted on their independence.

Right care: Care is not always person-centred and does not always promotes people's dignity, privacy and human rights. People and their relatives were not involved in care planning and records were not accessible to read for some people.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. The systems in place did not always promote an

environment that promoted people's choice and independence.

The monitoring systems in place were not robust because these did not find and address the concerns we found with the quality of medicines and care records.

People had care assessments and support plans in place, however we found people's records were not always updated on the new computerised system and people's care files contained the previous provider's care documents.

There were mixed views of the staffing levels at the service. While the staff rotas planned for sufficient staff there were times when staff were not available and/or deployed to support people to enjoy the things they liked to do.

Staff were regularly tested for COVID-19 and had access to sufficient supplies of personal protective equipment [PPE] to reduce the risks of infection.

Staff understood the provider's safeguarding procedures, staff told us they had completed training on abuse and knew how to report concerns.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk