St Elizabeth’s Domiciliary Care Agency

“This was the first inspection carried out under our single assessment framework and was unannounced. This inspection was prompted by a review of the information we held about the service and intelligence.”

“St Elizabeth Domiciliary Care Agency provides personal care for people in their own homes. The service supported people with a learning disability and autistic people. At the time of our inspection there were 25 people being supported with the regulated activity of personal care.”

“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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic. The service met this guidance.”

“We spoke with 10 staff members. This included support workers, managers and senior leaders. We spoke with 2 professionals that supported the people living at the service.”

“People felt safe and were supported by staff who understood their individual needs. Risk assessments were person-centred and regularly reviewed. Safeguarding procedures were well understood and followed. Staff were well-trained and worked collaboratively with health and social care professionals. People were supported to make informed choices and maintain their health and wellbeing.”

“People were treated with kindness and respect. Staff built trusting relationships and supported people in a way that promoted dignity and emotional wellbeing.”

“Support was tailored to each person’s preferences and regularly reviewed. People were encouraged to pursue interests and maintain important relationships. Feedback was welcomed and acted upon.”

“People and staff felt listened to and involved. The service had a positive and inclusive culture. Leadership was visible and approachable, and quality assurance systems were in place to monitor and improve care.”

“The provider was previously in breach of the legal regulation in relation to safe care and treatment, person centred care and good governance. Improvements were found at this assessment and the provider was no longer in breach of this regulation.”