Shapes Domiciliary Service

Not everyone who uses the service receives 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.

Families trusted the small teams of staff who supported their child or young person and had confidence in their abilities. Risks to children and young people were assessed and managed in consultation with their parents. Medicines were managed safely. Staff followed infection prevention and control precautions.

Children's and young people's needs were assessed holistically before they started to receive care and were kept under review. The service worked closely with children's and young people's healthcare teams to plan and provide care that was tailored to their individual needs. Staff were supported through training and supervision to work safely and effectively, including providing specialised care if a child or young person needed this.

Parents and carers were positive about their child's or young person's care. They were involved in care planning and felt staff had a good understanding of the care and support their child needed. Parents and carers told us they knew who to speak with if they had a complaint or concern about the service. They said these were dealt with properly.

Parents, carers and staff said the service was well managed. There was good communication with families. The registered manager was experienced in their role, had a good understanding of their responsibilities and worked in an open and honest way. They oversaw a programme of quality assurance audits, monitoring accidents and incidents, and addressed any areas for improvement.

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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: ● Whilst children and young people using the service were not all able to consent to their care, their wishes and preferences were central to decisions about their care. Care was designed and delivered to promote their independence. ● 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: ● Care was highly individualised according to the child or young person's needs. Parents and, as far as possible, children and young people, were meaningfully involved in care planning. Care promoted children's and young people's dignity, privacy and human rights. Right culture: ● The ethos, values, attitudes and behaviours of leaders and staff ensured people using the service led confident, included and empowered lives. The registered manager and leadership team led by example, reflecting a person-centred, inclusive approach.