- Homecare service
Arrow Support Limited
Report from 10 July 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 30th July 2024 to 13th August 2024. An assessment has been undertaken of a specialist service that is used by autistic people or people with a learning disability. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence, and good access to local communities that most people take for granted.’ Arrow Support Limited provide personal care and support to older people [over 65 years) and people of working age with a learning disability, autistic people or people who may have multiple needs associated with their mental and /or physical health. The support is provided to people who live in their own homes within Plymouth and the surrounding area. Packages of care varied from daily visits (a few hours) to 24-hour care. At the time of this assessment, Arrow Support Limited were supporting 38 people within their own homes. 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. At the time of our inspection, 14 people were using the service who received the regulated activity of personal care. At this assessment, we looked at 17 quality statements. The purpose of this inspection was to check if the provider had met the requirements of the warning notices, we previously served about the failure to comply with Regulation 11, (Need for consent) and Regulation 13 (Safeguarding service users from abuse and improper treatment) of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, following our inspection of the service in July 2023. At this assessment we found the service had made improvements and was no longer in breach of regulations 11 and 13.
People's experience of this 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. Right Support: People told us they felt safe and were supported to have maximum choice and control of their lives. People were supported to lead active lifestyles, follow their interests and take part in social activities. Staff supported people by focusing on their strengths and encouraging people to be independent. Right Care: People who were able to share their views with us and their relatives told us they had confidence in the staff and the care and support they provided. Care records mostly contained information regarding risks and guided staff on how to support people to minimise those risks. People were encouraged to take positive risks to enhance their wellbeing and support plans reflected their individual needs and preferences. However, whilst it was clear that staff knew people well and had a clear understanding of each person’s level of risk, more work was needed to ensure this level of knowledge was fully translated into people’s individual risk management plans. Right Culture: People were treated with kindness, respected as individuals, and supported by staff who had a good understanding of their needs. People were encouraged and supported to express their views; knew how to make a complaint and felt confident they would be listened to. The ethos, values and attitudes of staff helped to ensure people using the service were enabled to lead confident, inclusive, and empowered lives.