Background to this inspection
Updated
8 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector visited the service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and specialist housing.
The service had recently recruited a manager to become the registered manager of the service and was in the process of completing the application with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection. Inspection activity started on 16 September and ended on 20 September. We visited the office location on 16 September 2019. We visited two of the six houses to meet people and talk to staff on the 17 and 20 September 2019
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and spoke with other professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection
We spoke with two people who used the service and one relative about their experience of the care provided. We spoke with seven members of staff including, the manager, the regional manager, service managers, and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included two people's care and medication records. We looked at two staff files in relation to recruitment and staff supervision records. Multiple records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were reviewed during and after the inspection.
Updated
8 November 2019
About the service
Wilf Ward Family Trust East Riding is a domiciliary care service providing personal care to 19 people. They provide 24-hour care and support to people living with a learning disability across six independent living accommodation, in the East Riding of Yorkshire.
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
People received safe care and support, tailored to each person's needs and preferences. People and their relatives were involved in developing and updating their planned care.
The provider had systems in place to safeguard people from abuse and staff demonstrated an awareness of safety and how to minimise risks. Recruitment checks were in place to ensure staff were suitable to work at the service. Risks to people were assessed and updated regularly.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
Staff had received training and support to enable them to carry out their role. Staff received appropriate training for their role and knew people’s likes and dislikes well.
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.
Staff supported people in a kind, caring and patient manner. People were encouraged to be independent and were supported in line with their diverse needs.
People were able to spend time in a way they chose to. Staff understood the importance of supporting people to be socially included and prevented from social isolation. People were supported with their communication needs and staff demonstrated effective skills in communication.
Service managers were approachable and were supporting the newly recruited manager within her role. Staff felt supported by the management team and received supervision and training to develop their role. Quality assurance systems supported the service to continuously improve to meet people’s needs.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 May 2016).
Why we inspected
This was a planned inspection based on the registration date of new location.
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.