24 April 2023
During a routine inspection
Advantage Healthcare - Suffolk and Essex is a domiciliary care agency providing personal care to children and adults, including people living with a learning disability and autistic people living in their own homes. At the time of the inspection 13 people were using the service which included 5 children. The service also provided live in staff support.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support:
People received care and support from an established staff team. Staff were recruited based on their skills and experience and matched to meet the specific needs of people using the service. Staff received relevant and good quality training which gave them the skills to help ensure people received the right care and support. Staff showed a genuine interest in people's well-being and quality of life.
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. Managers worked closely with commissioners, social workers, and families to ensure bespoke packages were agreed. Care packages were tailored to meet people’s individual needs and designed to achieve the best quality of life possible.
Right Care:
People received person-centred which promoted their dignity, privacy and human rights. Systems were followed by staff to ensure risks to people were managed safely. Staff worked collaboratively with consultants and health professionals to help ensure people’s care was delivered in a way which meet their specific health needs, promoted their wellbeing, and helped them to live healthy lives.
Systems were in place to manage safeguarding concerns promptly, investigate matters and take appropriate action to protect people using the service. Staff knew people's needs well and had developed good relationships with them. Staff knew how to diffuse incidents of distress and anxiety quickly to reduce the risk of harm to people.
People, including those with complex dietary needs received support to eat and drink enough to maintain a balanced diet. Staff had good awareness, skills and understanding of people’s individual communication needs and how to promote effective communication. Staff were committed to supporting people to participate in their chosen social and leisure activities and encouraging people to explore new recreational interests.
Right Culture:
The registered manager had worked hard to instil a culture of care where staff felt truly valued. There was a transparent, open and honest culture between people, those important to them, staff and managers. The attitudes and behaviours of the registered manager and staff ensured people using the service led inclusive and empowered lives. The views of people, their families, and stakeholders were sought and used to improve the culture, quality and safety of the service.
Staff understood their role in making sure that people were always put first. They understood their responsibilities to respect people’s right to privacy, confidentiality and promoted their independence. Relatives spoke positively about the kindness of staff and the continuity of care they provided.
Effective governance arrangements were in place to assess the quality and safety of the service. These were used to identify and drive improvement to deliver high quality care and support. Concerns and complaints were taken seriously, investigated and the outcomes used to improve the service. Systems were in place to apologies to people, and those important to them, when things went wrong.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 20 January 2021, and this is the first inspection. The last rating for the service under the previous provider, Interserve Healthcare Suffolk and Essex was Good, published on 25 March 2020.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.