We carried out a review of the data available to us about Mencap - Mansfield Domiciliary Care Agency on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Mencap - Mansfield Domiciliary Care Agency, you can give feedback on this service.
Mencap-Mansfield Domiciliary Care Agency is a supported living service providing personal care to adults with learning disabilities, autism and other complex needs. At the time of the inspection 47 people were being supported.
People lived in their own accommodation either in a flat within a complex, a house with shared communal areas or a flat or bungalow in the community.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People had detailed personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences. The risk management plans mitigated any risks identified. They had developed positive and trusting relationships with staff which kept them safe from harm or abuse.
There were enough staff to support people in the way they wished, and the provider had undertaken recruitment checks which assured people were cared for by suitable staff. People were protected against the risk of infection and received their medicines on time.
People were supported to maintain good health and nutrition. Information was provided to people in an accessible format to enable them to make decisions about their care and support.
People were supported to have maximum choice and controls of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.
People were well cared for and supported to live as full a life as possible within their local community. They were enabled to pursue their interests and be involved with activities within the community.
Staff encouraged and supported people to fulfil their aspirations and desires. They had the knowledge and skills to support people in the way they wished, respecting their individuality and encouraging them to remain as independent as possible.
People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.
The service had a positive ethos and an open culture. The registered manager was approachable, understood the needs of people, and listened to staff and relatives. There were systems in place to monitor the quality of the service and drive improvements.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 14 March 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported by staff who understood the risks people could face and knew how to make people feel safe. People were encouraged to be independent and risks were mitigated in the least restrictive way possible.
People were supported by consistent staff who they knew. People were provided with the support they needed to take their medicines as prescribed.
People were provided with the care and support they wanted from staff who were trained and supported to do so. People’s human right to make decisions for themselves was respected and they provided consent to their care when needed. Where people were unable to do so the provider followed the Mental Capacity Act 2005 legal framework to make the least restrictive decisions in people’s best interest.
People were supported by staff who understood their health needs and ensured they had sufficient to eat and drink to maintain their wellbeing.
People were treated with dignity and respect and their privacy was protected. Where possible people were involved in making decisions about their care and support.
People were able to influence the way their care and support was delivered and they could rely on this being provided as they wished. People were informed on how to express any issues or concerns they had.
People were supported by a service which was person centred and put their interests first. There were systems in place to monitor the quality of the service so that improvements could be made when needed.