About the service United Response is a domiciliary care service providing support to people in their own homes. They support people living in multi occupancy accommodation, single dwellings and those living with family (outreach support). The service supports adults who have learning disabilities, physical disabilities and mental health needs.
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.
The support provided aims to enable people to live as independently as possible. At the time of the
inspection there were 33 people being supported of which 11 people were receiving a personal care service. Some people required 24-hour support.
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 continued to receive a responsive service. People were very much involved in their care with staff supporting them to live the life they wanted. People’s aspirations and goals were listened too and very much supported. People had been supported to build relationships within the local community. People were supported with finding meaningful employment within their local communities either paid or voluntary. Staff actively engaged with people to find meaningful social opportunities to prevent isolation.
People continued to receive a safe service including ensuring suitable staff were employed. Medicines were managed safely. Staff knew what to do to keep people safe and when they had concerns, they knew who to share these with. People were supported by staff that knew them well. Consistent and familiar staff supported people.
People continued to receive effective care. People were supported by staff that completed a thorough induction and ongoing training, which had been kept under review. People received help where required to ensure they had enough to eat and drink. People were supported to access health and social care professionals in a timely manner.
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.
The service applied the principles and values consistently 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 included control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People, relatives and health and social care professionals said the staff were kind and caring. People benefited from being supported by staff that knew them well. Staff spoke positively about their roles and their support of people.
The service was well led. Systems were in place to monitor the quality and safety of the service. People and staff were consulted, and their views of the service were listened to and acted upon. The service worked in partnership with other health and social care professionals and the local community.
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 Good (published July 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for United Response - Nailsea DCA on our website at www.cqc.org.uk.