Alina Homecare - Bristol South

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.

People's needs and preferences were assessed and documented before they started to receive support from Alina Homecare Bristol South. Care plans contained detailed information to support staff to meet people's individual needs. These documents reflected people's preferences and were regularly reviewed with people to ensure they received personalised care. Staff and professionals told us the management team responded to changes in people's needs quickly to make sure they continued to receive the right support.

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.

There were enough staff employed to meet people's needs and they received training and support to ensure they provided safe, quality support. Staff were passionate about Alina Homecare Bristol South and the care and support they provided to people.

The culture was person-centred, open and inclusive and aimed to achieve good outcomes for people. People and their relatives were positive about the service and told us about many ways in which staff were caring, considerate and supportive.

People and their relatives knew the management team and found them approachable and flexible. Staff told us the management team were visible and supportive and were passionate about providing a high- quality service. Governance systems and processes were well established and there were regular feedback surveys, spot checks and audits to ensure standards remained high. This monitoring supported the registered manager to review and learn from current performance as well as drive improvement.

Lessons were learned when things went wrong, and actions were taken when necessary. Several relatives

and professionals told us effective communication was one of the strengths of Alina Homecare Bristol South. Staff worked closely with other professionals for the benefit of people they supported. This helped to ensure people received a joined-up service which was responsive to their needs. 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. They did this by ensuring the way staff worked with people gave them choice control and independence. In addition, care was person centred and promoted people's dignity, privacy and human rights and the values and attitudes of staff and managers ensured people were supported to lead confident, inclusive and empowered lives. Examples of this are given in the full report.