Treehouse Care Domiciliary Care Services

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection only one person was being supported with personal care.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control and choice. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People's experience of using the service and what we found People were safe from harm. This was because staff recruitment, sufficient numbers of staff employed and risks were managed well to support people with their care needs. This included handling medicines and keeping people's homes clean.

Staff were trained, skilled and well supported by the provider. People had good relationships with the staff who protected their rights to lead a normal life. 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 found staff were kind, caring and respectful. They championed people's privacy and dignity and encouraged people's independence in all aspects of life. Staff ensured they communicated with people in a way they understood and had learned to listen to people's requests through signals, gestures and sounds.

Staff were motivated and dedicated in their roles to provide person-centred care based on people's needs, choices and preferences, which meant people experienced the lifestyle they desired and did the things they wanted to. Any dissatisfaction in receiving the service was addressed and resolved. Any support people would need in the future, with end of life care, was understood and would be provided.

People had the benefit of a positive and inclusive service. The registered manager and staff checked on how well the service was proving care and support. People and relatives had opportunities to make their views known. Documents held in the office were secure to ensure confidentiality of people's information, and staff respected people's confidentiality when they supported them.

For more details, please see the full report which is on the CQC's website at www.cqc.org.uk.