Preston Domiciliary Service

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The opportunities made available to those who used the service clearly had a positive and encouraging impact on their physical, social and emotional well-being. This was confirmed by people we spoke with and their relatives. People were supported by a committed staff team to achieve their goals and to meet their aspirations. One person said, "I think the carers have good spirits and lift me up when I'm feeling down. They sit and talk about anything I want and show a general interest."

People were safe using Preston Domiciliary Service. The practices adopted by the service protected people from harm. The staff team was consistent and the support provided to people promoted continuity of care. Robust recruitment practices were in place. Potential risks were handled well and medicines were managed safely. One person told us, "I generally feel safe with the care I'm having. The carers give me one to one support and there's always someone around to talk to when you need help. I also think the building is safe and secure."

A wide range of training had been provided for the staff team, which helped to ensure people received good care and support, in accordance with their needs. Community health and social care professionals had been involved in the care and support of those who used the service and people's dietary needs were fully met.

People were treated with dignity and respect and were involved in the decision-making process. Their preferences and wishes were respected by the staff team. Care files were very well written and provided staff with clear guidance about people's needs. Detailed information was also available about how to

communicate with people effectively and independence was consistently promoted.

The management and staff team were open and transparent during the inspection process. There was plenty evidence of community engagement taking place. A wide range of regular audits and monitoring was evident. We received very positive feedback about the manager and the staff team.