Belong at Home Domiciliary Care Agency Crewe

At the time of inspection there was no registered manager in post. The service were actively recruiting and have appointed a manager who has applied to register.

People's experience of using this service: A proactive approach to fitness had some exceptional outcomes. The on-site gym facilities had innovative technologies which supported people to improve their health and wellbeing, above and beyond what people expected. People had regained their mobility and independence, lost weight and reduced the need for some medicines or aids as a result.

An experience co-ordinator provided people with opportunities to follow their interests by re-engaging with them and providing support for people to run their own interest groups and activities. In addition, the experience coordinator provided people with support to transition into or out of services gradually.

Without exception, people we spoke with praised the exceptionally kind and caring nature of their staff. People felt valued and respected by staff who promoted their dignity and wellbeing. Staff had received training in equality and diversity and were knowledgeable about protected characteristics identified in the Equality Act 2010. People were encouraged to celebrate their identity. Some people had been supported to attend 'Silver pride'.

Without exception people praised the quality of the service they received from Belong at Home DCA. People told us they felt safe and were supported by skilled staff who went above and beyond to ensure their needs had been met as they preferred. People praised the way staff actively looked for anything additional they could do during a visit.

End of life care was available from trained staff, the service worked together with community- based health staff and other parts of the organisation, on site, to maximise the potential for people to remain at home if they wished.

The service was well-led, there was a clear commitment to delivering high-quality person-centred care which reflected people's aspirations, hopes and needs. Though there was not a registered manager in post, an area manager had fulfilled this role while the recruitment process was being followed to ensure continuity for the service.

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

Rating at the last inspection: The last rating for this service was outstanding. (published October 2016).