Caremark (Broxtowe & Erewash)

Not everyone who used the service received personal care. 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.

People's experience of the service and what we found: 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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support 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; however the policies and systems in the service did not always support this practice. We have made a recommendation the provider reviews people's mental capacity assessments and best interest decision documentation.

Right Care The service was not able to fully demonstrate how they were meeting some of the underpinning principles of Right Support, Right Care, Right Culture. The service had not always ensured staff had the skills, knowledge and experience to deliver effective care and support. We found care plans to contain personalised information on risks which affected people's daily lives. People were supported to receive their medicines safely and there were sufficient numbers of suitable staff.

Right Culture The provider did not have an effective governance system in place to identify issues we found on inspection. However, the provider promptly addressed our findings and sent us an action plan. People and staff spoke positively about the culture of the service and the service had supported people to achieve positive outcomes.

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