About the service ATF Bespoke Support Ltd is a domiciliary care service providing care and support to younger adults with learning and/or physical disabilities, including those on the autistic spectrum. People using the service are supported in their family homes, in ‘supported living’ settings or in their own homes.
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. At the time of the inspection, there were four people receiving a regulatory activity.
People’s experience of using this service and what we found
People told us they were happy with the service they received, and they felt safe; good relationships had developed between staff and people using the service. Safeguarding adults’ procedures were in place and staff understood how to protect people from abuse. Recruitment processes were safe. There were enough numbers of staff deployed to meet people's needs in a punctual, consistent and flexible way and to ensure their safety. People received their medicines when they needed them from staff who had been trained and had their competency checked. People were enabled to retain their independence and receive support with minimum risk to themselves or others.
People were given choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s care and support needs were continually assessed to ensure their needs were being met. Arrangements were in place to ensure staff received ongoing training, supervision and support. People were supported at mealtimes in line with their care plan and staff worked in partnership with healthcare professionals, when needed.
Management and staff had developed friendly, trusting, caring and respectful relationships with people using the service and their families. Staff knew about people’s routines and preferences; this made sure people’s care was tailored to their specific needs. People had been consulted about their care needs and had been involved in the care planning process; their decisions were respected. People had access to a range of activities, if this was in line with their care plan. People were aware of how they could raise any complaints, concerns and compliments and had access to a complaint’s procedure.
The quality of the service was monitored and any noted shortfalls were addressed. We discussed how the quality monitoring systems could be improved to ensure they were more effective. Staff told us they were supported by the registered manager, and they enjoyed working for the service. People’s views and opinions of the service were sought and acted on. Everyone spoken with, told us the service was well-managed.
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.
This service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. People’s care was person-centred and focused on choice, control and independence. People were supported to lead confident, inclusive and empowered lives.
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 10 September 2019; this is the first inspection.
Why we inspected
This was a planned inspection as the service was not yet rated.
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.