12 February 2020
During a routine inspection
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
Choice Support Wakefield (DCA) was exceptional at placing people at the heart of the service. The managers and staff had a strong focus on people having as many opportunities as possible to develop their confidence, gain new skills and become as independent as they could. One relative said, "My [family member] does what they want when they want."
The outcomes for people using the service truly reflected the principles and values of Registering the Right Support in the promotion of choice, control, independence and inclusion. The management team constantly looked for ways to improve the service. They had engaged people with complex emotional and behavioural needs in decisions and feedback at every opportunity.
Relatives and people we spoke with highly praised the service and the impact it was having. People were supported by staff who were determined to ensure people could make their own choices. Staff assisted people to make their wishes a reality.
There was a very positive culture in the service and people experienced good levels of staff support and interaction to lead fulfilling lives.
The service was safe and people were encouraged to live life to the full and enjoy taking supported risks.
Staff had a good understanding of how to safeguard adults from abuse and who to contact if they suspected any abuse had taken place.
Staff knew what to do in the event of an emergency. Risk assessments were individualised and minimised risk whilst promoting independence.
People were supported to maintain optimum wellbeing and quality of life. Care plans were outcome focused, extremely detailed, accessible and based on robust assessments of individual need.
Relatives and people told us how people were highly valued, shown great respect and their dignity preserved. People were supported to have the 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 were exceptionally caring. They all shared the same hopes and aspirations for people to continue to live the lifestyle of their choice. People’s voices were of paramount importance in the service.
There was clear and consistent working with other professionals who supported people and staff were pro-active and dedicated to promoted people’s physical and emotional wellbeing.
Recruitment practices for the service were safe. Staff were supported through induction, training, observations and supervision.
The registered managers welcomed comments about the service. They had an accessible complaint’s process available to people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
The last rating for this service was good (published 15 November 2017). Since this rating was awarded the registered provider of the service has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up
We will continue to monitor the service and re-inspect in line with the current rating. If we receive any concerning information we may inspect sooner.