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.About the service
Five Star Support is a domiciliary care agency providing personal care to 13 people with physical disabilities, learning disabilities and autism at the time of inspection.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support
People were supported to access local facilities and staff supported people to pursue their interests. People received support from a consistent staff team. Staff knew people well including their likes and dislikes. One relative told us, “They all seem to know [person] character”. Staff supported people safely and knew how to manage risks and report any concerns. Medicines were managed safely.
Right Care
Care records were person centred and clearly outlined peoples support needs. Staff worked with other professionals to ensure people received joined up care. Relatives told us that staff were caring and professional. One relative said, “The management team take into consideration what care is required.” Relative told us people were supported to make their own decisions and choices. Another relative told us, “I’m very happy with the service.”
Right Culture
The registered manager promoted an open and positive culture and set a good example for staff to follow. Staff told us they received the training to enable them to support people safely and they were supported by the management team. Relatives spoke highly of the staff team. One relative said, “I’ve commented on how good the carers are with [person].” Systems and processes were in place to ensure the service remained safe and effective. People was 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 13 April 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part by notification of a specific incident. Following which a person using the service sustained an injury. The information CQC received about the incident indicated concerns about the management of care records. This inspection examined those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Five Star Support on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.