About the service Promoting Independence South West is a domiciliary care service that provides support to people living in their own homes. Support was provided to people living with mental health conditions and learning disabilities and autism. At the time of the inspection 22 people were being supported.
People’s experience of using this service and what we found
People were supported to be as independent as possible and have control over their lives. People's dignity was respected, and staff encouraged and supported people to make decisions and choices about how they spent their time. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.e
People received support with their food and drink, medicines and any healthcare needs. Staff completed records at each visit which detailed the support provided.
People were prompted with their personal care. Staff supported people towards a stable and independent lifestyle.
Visiting schedules were arranged each week in advance, according to people’s needs and wishes, then people were advised who would be coming and when.
A training record was held for all staff. Necessary training subjects had been completed along with training designed to meet the specific needs of the people using the service. COVID-19 training had been provided and the infection control policy had been reviewed to included COVID-19 guidance for staff. Staff were tested weekly for the Covid-19 infection. All staff had been vaccinated against COVID-19.
Records showed people’s needs were assessed and recorded. Risks were identified and assessed. Staff were provided with guidance and information that helped them to meet each person’s specific needs.
The service was growing rapidly and actively recruiting at the time of this inspection. Staff were recruited safely. However, the registered manager had not always ensured that previous employment dates were confirmed with each reference received. We have made a recommendation about this in the safe section of this report.
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.
Right support:
• The model of care maximised choice, control and independence. People were supported to use community activities when they chose. Staff provided personalised opportunities to take part in community activities. One person had been supported to become more involved in a local club, which they enjoyed.
Right care:
• People were complimentary of the support provided. They told us staff understood their needs and they were confident that staff had the knowledge and skills to provide personalised support.
Right culture:
• There was good oversight of the service from the provider. Staff told us they were able to access management support when they needed to. This meant there were opportunities to ensure support was provided in line with the service’s ethos and values.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us in July 2020 and this is the first inspection.
Why we inspected
This was a planned inspection to provide a first rating of the service since their registration.
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.