Croydon Borough

Croydon Borough is a domiciliary care agency providing personal care to older people, people living with dementia, people living with physical disability and people living with learning disabilities or autism. The service was providing care to one person at the time of the inspection. The person was living with a learning disability.

Right Support The service provided the person with the right support. Staff supported the person to take part in activities they liked doing and attend a local day centre, so they had a fulfilling and meaningful everyday life. The service made adjustments for the person and their relative so they could be fully involved in discussions about how the person received support, such as holding meetings at the person's home. The service worked with the person and their relative to plan for when the person experienced periods of distress. Staff supported the person and their relative so the person could access specialist health care support in the community. The service supported the person and their relative to make decisions following best practice in decision-making. Staff supported the person with their medicines in a way that achieved the best possible health outcome. Staff communicated with the person in ways that met their needs.

Right Care The service had not always provided the person with the right care. The provider had not always provided the person with sufficiently trained and experienced staff. Some of the staff used to provide the person with care when their usual care workers were not available had not received training to work with epilepsy, learning disabilities, behaviours that some people may find distressing and PEG (percutaneous endoscopic gastrostomy) tube support. PEG is a procedure in which a flexible feeding tube is placed through the abdominal wall and into the stomach and allows nutrition, fluids and/or medicines to be put directly into the stomach, bypassing the mouth. Staff had not always followed medicines administration guidance and best practice. We found no evidence the person had been harmed. However, this meant the person had sometimes not received the right care.