Hyndburn and Ribble Valley Domiciliary Service

This service provides care and support to people living in 14 'supported living' settings, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.

The care service had been developed and designed in line with the values that underpin 'Registering the Right Support' and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of the inspection, there were 32 people using the service.

At the last inspection, in June 2016 the service was rated as 'Good'. At this inspection, we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People told us they felt safe and staff were kind and caring. Safeguarding adults' procedures were in place and staff understood how to safeguard people from abuse. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. Staff responded quickly and effectively to support people's changing needs. Appropriate recruitment procedures were followed to ensure prospective staff were suitable to work in the home. People received their medicines when they needed them from staff who had been trained and had their competency checked. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs were assessed prior to them using the service. New staff received an induction and were offered ongoing training during their employment. Staff were supported with regular supervisions and annual appraisals to ensure they could deliver care effectively. People were supported to eat a nutritionally balanced diet and to maintain their health.

Staff were respectful of people's privacy and maintained their dignity. All people and the relatives spoken with told us the staff were kind and caring. We observed staff had a good relationship with people and supported them in an attentive and sensitive manner.

People's care records were personalised and included their preferences as well as the goals they wanted to

achieve. There were arrangements in place to review people's care plans to ensure care was delivered appropriately. People and their relatives were consulted as part of the person-centred planning process and their views were acted upon.

People were supported to plan and participate in activities that were personalised and meaningful to them. We noted people participated in a wide range of activities and had an activity planner to help them structure their time. People had access to a complaints procedure and were confident any concerns would be taken seriously and acted upon.

People, relatives and staff spoken with told us the service was well managed and operated smoothly. Systems were in place to monitor the quality of the service provided and ensure people received safe and effective support. These included seeking and responding to feedback from people in relation to the operation of the service.

The five questions we ask about services and what we found