East Cornwall & Plymouth DCA provides care to people with learning disabilities, acquired brain injuries and dementia. On the days of our inspection the service was providing personal care to 21 people, some living in shared housing. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
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Why the service is rated good:
People were supported to have maximum 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 safety was promoted through safe staff recruitment, training, supervision and staffing arrangements.
Staff fully understood how to safeguard people from abuse and discrimination. The registered manager worked closely with the local authority safeguarding adults team.
An attitude of positive risk taking meant people were not overly restricted in their daily lives.
People received their medicines as prescribed, with staff assistance.
Staff understood hygienic practice and had the equipment to protect people from infection and cross contamination.
People received a varied menu which they were able to influence.
Each person had a comprehensive, well organised care plan, based on their needs and wishes. Where the person was unable to take part in decision making, their representatives, or independent advocacy, was arranged for them.
Staff knew people well. A health care professional said, “Staff certainly know people very well and have made good relationships.”
People were treated with dignity and respect. Staff understood the importance of equality and diversity and worked hard to remove barriers which might restrict people’s lives.
People were supported to follow meaningful activities, make and benefit from relationships and enjoy time in the community.
Staff spoke positively about the management and provider organisation. They felt their views were listened and responded to and had not been afraid to speak up if not happy with any aspect of the care. Concerns and complaints were robustly investigated and followed up.
There were effective systems in place to monitor the quality of the service, including listening to people’s views.
Further information is in the detailed findings below