ESPA Domiciliary Agency

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.

Staff were clear on their responsibilities for safeguarding people and showed a good knowledge of the actions they needed to take to keep people safe. There was an open and transparent culture in relation to any accidents and incidents. These were used by the management team as learning opportunities to lessen risks.

Medicines were managed safely. Enough staff were working for the service to ensure people received safe and effective levels of care. Recruitment and selection procedures ensured suitable staff were employed.

There was a proactive approach to assessing, anticipating and managing risk which allowed people to be safe whilst also enhancing and developing their independence and essential life skills. Care plans were person centred.

Staff were supported by a committed management team and told us they were proud to work for the service. There was an open and transparent culture where people were supported to be involved in their care and voice their opinions. Relatives told us the service was well-managed.

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.

This service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The model of care and support provided to people living in their own homes maximised their choice, control and independence. People were involved in all aspects of their care and

future planning. Care provided was centred around the person and promoted people's dignity, privacy and human rights. The ethos, values, attitudes and behaviours of the management team and support staff ensured people lead confident, inclusive and empowered lives.