Home Instead

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.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

We have made a recommendation about the management of some medicines.

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.

Right Care: Risk assessments were in place. However, control measures had not been regularly reviewed. People received person-centred care which met their individual needs and preferences. People were always treated

with dignity and respect. Staff understood their responsibility to protect people from abuse and were clear about how to report concerns. Staff were confident these would be acted upon.

Right Culture: The service did not have a scheduled approach to audits and governance checks. Care plan reviews had not been undertaken regularly as planned. There was no clarity about whether staff had received checks on their competency, although we observed some of these checks had been undertaken.

We have made a recommendation about how the provider ensures good governance and oversight of the service.

The service had an empowering culture with clearly defined outcomes for people. People and their relatives were communicated with regularly. People and relatives were involved in developing people's care plans.