Glyn Domiciliary, operated by Achieve Together Limited, received an overall Good rating across all five key questions at its first inspection under the current provider. The service is a highly specialist provision for Deaf people, characterised by a BSL-fluent workforce, strong person-centred culture, and consistently positive outcomes for the six people supported across three supported living settings.
Concerns (3)
moderate
Communication with families
: “At times, people attended appointments with healthcare professionals who had either been unaware of a need to have an interpreter or had not booked one.”
minorPerson-centred care: “1 person claimed they had not seen their care plan or contributed to it.”
minorRecord keeping: “We saw some staff records were missing references from previous employers however, the registered manager located them and added them to records when we were on site.”
Strengths
· All staff were fluent in British Sign Language (BSL), with most having BSL as their first language, removing communication barriers for Deaf service users.
· Strong person-centred culture with monthly keyworker meetings focusing on people's goals, dreams and aspirations.
· Robust safeguarding processes including annual training, multi-agency referrals, and regular revisiting in team meetings.
· Medicines safely managed with annual competency assessments, regular STOMP reviews, and medicines audits.
· Highly specialist service for Deaf people with tailored risk assessments, accessible fire alarms, and culturally inclusive care.
Quality-Statement breakdown (24)
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: Adapting service, design, decoration to meet people's needsGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood