About the service We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Medstar Care & Support Limited is a domiciliary care agency providing personal care to people living in their own homes and flats. The service also had a supported living location that was able to support four people in the community. The supported living location was a detached house in a residential area. People had access to individual washing facilities and a well-groomed, private back garden. At the time of the inspection the service was supporting 11 people.
Not everyone who used the service received personal care. 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
Right Support:
People were treated as partners in their care and staff supported people to be engaged in planning what their care meant to them. 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. We observed kind and caring interactions between people and staff. People were comfortable telling staff what they needed. People were encouraged to be independent around activities of daily living such as preparing their meals, clothing and activities. People’s communication needs were documented, and guidance given to staff to ensure they were able to work effectively with people.
Right Care:
People’s care was person centred and tailored to them. People told us their experience of their care was positive. People were encouraged to take part in activities that were meaningful to them and improved their wellbeing. People received a continuity of care and had the same staff working with them. This allowed positive working relationships to be built which meant people’s needs were fully understood.
Right Culture:
There was an open, inclusive and empowering culture at the service which promoted positive outcomes for people. The registered manager and staff were passionate and committed to working with people and the ethos of the service to put people first was clearly demonstrated throughout the inspection. There were numerous auditing systems to monitor the quality of care and make improvements where necessary.
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 10 June 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.