9 June 2023
During a routine inspection
About the service
London Ondcare Services Limited is a service providing personal care in a supported living property in South London. There were 3 people receiving support at the time of the inspection.
People’s experience of using this service and what we found
Right Support
The size and structure of the service was in line with the principles of Right support, right care, right culture. Staff delivered care and support in a person-centred way that offered people choice, control and independence.
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.
Staff enabled people to access specialist health and social care support in the community. Staff communicated with people in ways that met their needs.
Right Care
New staff were not always adequately checked to ensure they were suitable to work with people to keep them safe. Medicines were not always managed safely. We found no evidence that people had been harmed. However, systems were not robust enough to demonstrate staff recruitment and medicines were effectively managed. The provider’s auditing systems had not identified the recruitment and medicines issues.
Staff and people worked together to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People’s care, treatment and support plans reflected their range of needs, and this promoted their wellbeing and enjoyment of life.
Right Culture
People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff knew and understood people well.
Staff were responsive, supporting people’s aspirations to live a quality life of their choosing. Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them, were involved in planning their care. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
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 18 January 2022 and this is the first inspection.
Why we inspected
This is the service’s first inspection since registering with the Care Quality Commission.
Enforcement
We have identified breaches in relation to medicines management and safe recruitment practice at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.