Background to this inspection
Updated
1 October 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 8 August 2022. We visited the location’s office on that date.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
A provider information return (PIR) is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used information gathered as part of monitoring activity that took place on 18 July 2022 to help plan the inspection and inform our judgements
We used all this information to plan our inspection.
During the inspection
We were unable to speak with people who used the service due to them being non-verbal. We spoke with one relative of the people about their experience of the care provided. We spoke with four members of staff including the registered manager and care staff.
We reviewed a range of records. This included two people's care plans and medicines records. We looked at recruitment checks and training records of four staff members. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
1 October 2022
About the service
Shaw Care SW Limited is a domiciliary care agency providing the regulated activity of personal care. The service provides support to people requiring assistance in their own homes. At the time of the inspection there were two people living with autism and learning disabilities receiving the service on a one to one, 24 hour basis.
People's experience of using this service and what we found
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
Staff supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People were supported by staff to pursue their interests and to achieve their aspirations and goals. Each person was supported to access and attend a range of social activities. People were supported by the staff to use the local community facilities and had been supported to develop skills which promoted their independence. People were provided with regular opportunities to express their needs, wishes and preferences regarding how they lived their daily lives. This included meetings with a designated member of staff who was their keyworker.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People who had individual ways of communicating, using body language, sounds, pictures and symbols could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them. People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
Right Culture
People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff could meet their needs and wishes. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs and rights at the heart of everything they did. People and those important to them, including advocates, were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.
The service maintained daily records of how peoples support needs were meet and this included information about medical appointments with GP’s and Dentists for example. There were suitable arrangements in place for the safe storage, receipt and administration of people’s medicines.
The provider had quality monitoring systems in place which were used to bring about improvements to the service. Staff received appropriate supervision and training in their roles and were able to feedback about the service
There was a complaints procedure for people, families and friends to use and compliments could also be recorded.
Rating at last inspection This service was registered with us on 23 July 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.