17 Victoria Road
Durham DL1 5SF
Telephone: (01325) 485846
Care Types: Care in your Home • Dementia • Eating disorder • Learning disability/autism • Older People • Physical Disability • Sensory Impairment • Supported Living - Learning Disability Only • Younger Adults
OverallRead overall summary
The inspection took place on 6 May 2016. The inspection was announced as 24-7 Community Support provides domiciliary care to people in their own homes we gave the service 24 hoursâ notice to make sure there was someone at the office for the time of our inspection.
24 - 7 Community Support is a domiciliary care service that provides personal care and support to young people and people with physical disabilities, learning disabilities and autism who live in their own home or supported living. The service covers the Darlington area and at the time of our inspection the service supported 29 people.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are registered persons. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We spoke with members of the staff team including a board director, and care staff who told us that the registered manager was always available and approachable. We spoke with people who used the service on the day of the inspection and their relatives.
We saw that peoples prescribed medicines and topical medicines were recorded when administered. We looked at how records were kept and spoke with the registered manager and director about how staff were trained to administer medicines and we found that the medicines administering, recording and auditing process was safe.
From looking at peopleâs support plans we saw they were person centred. âPerson-centredâ is about ensuring the person is at the centre of everything and their individual wishes and needs and choices are taken into account. The support plans made good use of personal history and described individuals care, treatment, wellbeing and support needs. These were regularly reviewed and updated by the care co-ordinators and the registered manager.
People who use the service received person centred support and their cultural beliefs were respected and valued.
Individual support plans contained risk assessments. These identified risks and described the measures and interventions to be taken to ensure people were protected from the risk of harm. The care records we viewed also showed us that peopleâs health was monitored and referrals were made to other health care professionals where necessary for example: their GP, mental health team and care manager.
Our conversations with people who use the service and their relatives during the inspection showed us that people who used the service were supported in their own homes by sufficient numbers of staff to meet their individual needs and wishes.
We looked at the recruitment process and found that relevant checks on staff took place and this process was safe. People who used the service chose their own staff and together with their families were a major part of the recruitment process.
We looked at the staff training records we could see staff members were supported and able to maintain and develop their skills through training and development opportunities. Staff we spoke with confirmed they attended a range of learning opportunities. They told us they had regular supervisions with the registered manager, where they had the opportunity to discuss their care practice and identify further training needs.
People were supported with one to one support to empower them and enable them to maintain paid employment opportunities.
People were encouraged to plan and participate in activities that were personalised and meaningful to them. People were supported regularly to play an active role in their local community, which supported and empowered their independence including; holding regular coffee mornings, accessing local facilities and supporting people to access public transport independently.
We saw compliments and complaints procedure was in place and this provided information on the action to take if someone wished to make a complaint and what they should expect to happen next. People also had access to advocacy services and safeguarding contact details if they needed it.
We found the service had been regularly reviewed through a range of internal and external audits. We saw action had been taken to improve the service or put right any issues found. We found people who used the service and their representatives were regularly asked for their views via phone calls and surveys.
The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.
People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. Any applications must be made to the Court of Protection. At the time of this inspection no applications had been made to the Court of Protection.
Last updated 02:12:50 18th Apr 2018 - Update Now
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