Chilmington at Home

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.

Right Support: People had mental capacity assessments in place for some individualised decisions, however there was not always evidence of these having taken place prior to the inspection in relation to potential restrictive practices such as bed rails. During the inspection, this was rectified by the registered manager and deputy manager. 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. The service supported people to have control and independence over their own lives. People were supported by staff to pursue their interests and work towards their aspirations and goals. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care: The services mandatory training was not in line with best practice. Some staff had not received moving and handling training since July 2021. The area manager ensured staff who had outstanding training had a date arranged for the training after the inspection had taken place. The service had not yet implemented Oliver McGowan training (training to ensure staff have the right skills and knowledge to provide safe, compassionate and informed care to autistic people and people with a learning disability) to all staff. The area manager advised this will be implemented in the coming months. People received kind and compassionate care from staff and this was observed during the inspection. Staff protected and respected people's privacy and dignity. They understood and responded to people's individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

Right Culture:

Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff placed people's wishes, needs and rights at the heart of everything they did. People and those important to them, were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person and other professionals as appropriate. People's quality of life was enhanced by the service's culture of improvement and inclusivity. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.