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. About the service
Theresa Care Limited is a domiciliary care agency and provides personal care and support to people who require assistance in their own home. At the time of our inspection 10 people were being supported by the service. 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 experience of using this service and what we found
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.
Right Care:
Care is person-centred and promotes people’s dignity, privacy and human rights. People were supported by staff to access activities of their choice and this supported independence.
Right Culture:
The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
People's care plans and risk assessments were person centred and had been developed with the person and their representative, where appropriate. Risk assessments included guidance for staff on managing and reducing identified risks to people.
Staff had received up-to-date training and information about reducing the risk of infection to people. People told us staff used appropriate PPE when visiting their homes to provide care.
Some people received support with taking their prescribed medicines. We found that this was managed safely. Staff were recruited safely, and the provider had carried out satisfactory checks of their suitability before they commenced work at the service. Induction training was provided to new staff.
People and relatives told us staff were usually on time and they were informed if they were going to be late for a care visit. 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. We recommended the provider follow the MCA and ensure consent to treatment was formally recorded.
The provider had systems in place to ensure the quality of support to people was maintained and improved. Regular spot checks of care in people's homes were carried out, and people's views of the care they received were sought.
We found evidence the provider proactively worked with other professionals to ensure people received the care and support they required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 06 May 2021 and this is the first inspection.
Why we inspected
This was a planned inspection of a newly registered service. We inspected to give the provider a rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.