Your Choice A and J Support Ltd received a Good rating across all five key questions at its first inspection in July 2019, providing respite domiciliary care to one person with learning disabilities. The service demonstrated safe, personalised and well-governed care, with strong staff knowledge, effective multi-agency working, and an open management culture.
Strengths
· Risks relating to healthcare needs and home environment were assessed and managed, with risk assessments in place for specific risks such as oxygen use.
· Medicines were administered and managed safely, with MAR charts completed and advice from healthcare professionals reflected in care plans.
· Staff were trained in areas relevant to the person's health and care needs, including specialist training where required.
· Staff demonstrated detailed, personalised knowledge of the person, including their communication needs, preferences, likes and dislikes.
· The service worked effectively with a range of healthcare professionals, incorporating their guidance into care plans.
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving care; Working in partnership with othersGood