About the service Adaptable Support Ltd provides personal care to people living in their own houses and flats. The agency covers a wide range of dependency needs and age ranges that included adults, older adults and children. At the time of the visit there were 11 people receiving personal care support.
Not everyone who used the service received personal care. The Care Quality Commission (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
People benefitted from exceptionally caring staff that provided continuity of support. The feedback from people demonstrated the caring and empowering culture was well embedded across the organisation. One relative commented, “The staff are brilliant, worth their weight in gold.”
The registered manager led the service in delivering personalised and innovative support that promoted a flexible, person centred culture. One relative commented, “They [staff] are always available on the phone should I need them and will always do whatever they can to help.” The service had robust governance procedures to ensure a quality service was delivered by staff who were motivated to meet people’s needs and wants.
Safeguarding procedures were in place to protect people from the risk of abuse by staff who understood and were trained on how to recognise and respond to concerns. Safe recruitment practices were followed and there were enough staff deployed to meet people’s needs. Infection control systems and audits ensured staff had access to suitable amounts of appropriate personal protective equipment. Staff were participating in regular testing for the COVID-19 virus to minimise the risk of spreading the infection and help keep people safe.
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.
The registered manager tailored people’s support to ensure it was flexible in delivering positive outcomes and meeting people’s physical and emotional needs. Positive communication and valued engagement were embedded through the service. Staff supported people to live healthier lives that included when appropriate, help and guidance with their healthcare, nutrition and hydration.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Adaptable Support Ltd supported people’s choice to live and be a valued and visible part of their local communities. The care was tailored to meet people’s needs and the continuity of support fostered positive relationships. One relative commented, “All his care is tailored to his needs. They are exactly what [family member] requires.” The positive values embedded within the service empowered people and enhanced the quality of their lives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with CQC on 23/05/2019. This was their first inspection.
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.