About the service Dimensions Teeside Domiciliary Care Office is a domiciliary care agency supporting people with personal care in their own homes. All of the people supported were living with either a learning disability and/or autism spectrum disorders. At the time of our inspection 97 people were being supported.
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.
People’s experience of using this service and what we found
The service had a track record of being an excellent role model for other services. The registered manager and provider had created a clear culture of striving for excellence through partnership working, consultation, research and reflective practice. Staff were motivated by and proud of the service. There were consistently high levels of constructive engagement with people, relatives and staff.
People and relatives spoke positively about the support provided by staff, who they described as caring and kind. Staff supported people to live as full and fulfilling a life as possible. People and relatives said staff valued people as individuals and treated them with dignity and respect.
Medicines were managed safely. Risks to people were assessed and addressed. Staff were well-matched to the people they supported, and people were involved in their recruitment. People were safeguarded from abuse.
Staff received regular training, supervision and appraisal. 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 worked effectively with external professionals to ensure people received the healthcare support they needed.
Support was based on people’s assessed needs and preferences, which were regularly reviewed. Effective systems were in place to investigate and respond to complaints.
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.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Support was designed to promote people’s control of their lives and promote their independence. Care was personalised and delivered in a way that respected people’s privacy and dignity. The service had clear culture of empowering people to live the lives they wanted.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28/01/2020 and this is the first inspection. The last rating for the service at the previous premises was good, published on 20/04/2018.
Why we inspected
This was a planned inspection to give the service a 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.