About the service: Jaffray Domiciliary Care Services provides support to people living in a supported living scheme. It is part of the registered charity ‘Jaffray Care’, who provide support to people with developmental disabilities, in a variety of different settings. At the time of this inspection there was one person receiving a regulated activity (support with personal care) from this service.

Rating at last inspection: At the last inspection the service was rated as Good (7 July 2016).

Why we inspected: This was a planned inspection, in line with our inspection schedule, to check that the service remained Good.

People’s experience of using this service: The service had been developed in line with the values that underpin ‘Registering the Right Support’ and other best practice guidance. These values include choice, promotion of independence and inclusion. By following these principles, services can support people with developmental disabilities to live as ordinary a life as any other citizen.

The person receiving support was treated with kindness and respect. Staff knew them well, helped them make choices and decisions and encouraged them to be as independent as they could.

There were systems in place to recruit staff safely.

Staff received the training and supervision they needed to support the person with their specific care needs.

The management of medicines was carried out safely.

Staff had considered risks to the person’s health, safety and wellbeing and had taken reasonable steps to prevent them coming to harm.

Health and safety checks ensured the person’s home was well-maintained and safe to live in.

The service worked closely with other health care professionals and supported the person to access appropriate health care services when needed.

The service had a process for handling complaints and concerns. There had not been any recent complaints about the service.

The service was well-managed. The registered manager and chief executive officer provided good leadership. Audits and quality checks were undertaken on a regular basis to monitor and improve standards.

Follow up: We will continue to monitor this service and plan to inspect in line with our re-inspection schedule for services rated Good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This inspection took place on 21 and 25 April 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in.

Jaffray Domiciliary Care Services currently provides personal care and support to people living in a supported living scheme. At the time of this inspection there were four people living at the scheme, with one person receiving support with personal care.

There was no registered manager in post at the time of our inspection, but since then a new manager has registered with us. 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 last inspected the service on 29 and 30 January 2014; there was one breach of legal requirement at that inspection. During this inspection we found that the provider had taken action to comply with the regulations.

People received a safe service. Procedures were in place to ensure that people received a service that was safe; staff followed the procedures to ensure the risk of harm to people was reduced. The risk of harm to people receiving a service was assessed and managed appropriately; this ensured that people received care and support in a safe way. Where people received support from staff with taking prescribed medicines, this was done in a way that ensured the risk to people was minimised.

People received care and support from staff that were trained and supported to be effective in their role. People’s rights were protected and they had choices in their daily lives. People were supported to maintain their diet and health. People’s privacy, dignity independence and individuality was respected and promoted at all times.

People received care from staff that were suitably recruited, supported and in sufficient numbers to ensure people’s needs were met.

People were able to raise their concerns or complaints and processes were in place to ensure complaints were investigated and responded to, so people could be confident they would be listened to and their concerns taken seriously.

People received a good quality service, which was well managed. The management of the service was stable, with processes in place to monitor the quality of the service. People were asked to comment on the quality of service they received and the information was used to improve the service.

During this inspection two people that used the service agreed to speak with us. We also spoke with the manager and two care workers.

We saw that people were supported to make choices in their daily lives and to maintain their independence. We found that people’s views and experiences were taken into account in how the service was delivered.

Both people that we spoke with told us, “I like my flat and the staff.” We saw that staff supported people to keep well and to live an independent life, which met their needs and aspirations.

We saw that people lived in a clean environment and that there were systems in place to reduce the risk of cross infection.

We saw good interactions between people that lived at the scheme and the staff that supported them. People told us that they were treated well by the staff. We found that people were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

People said they could speak with the manager if they had any concerns. We saw that there were systems in place to record, investigate and respond to complaints.

We visited the service and spoke with the manager and three members of the staff team.

We met two people who use the service. They told us about the ways in which workers supported them to live the lives they chose. They both confirmed that they made decisions about how they wanted to be supported, what they wanted to eat and where they wanted to go. Both said that they felt safe and we saw that they looked comfortable and happy in the company of the support workers.

Support workers told us about the ways in which they supported people whilst making sure that they remained as independent as possible. They said that they loved working for this organisation as it felt ‘like a big family’. They said that there were good opportunities for training and a good level of support from managers.

During the inspection three people that used the service agreed to speak with us. We also spoke with the deputy manager, two care workers, the nominated individual and a person from human resources.

We saw that people were supported to make choices in their daily lives and to maintain their independence. We found that people's views and experiences were taken into account in how the service was delivered.

Both people that we spoke with told us that they are happy and one person said, "I like living here and the staff are really good." We saw that staff supported people to keep well and to live an independent life, which met their needs and aspirations.

We saw that peoples' medication had not been well managed for one person. We saw that training had been undertaken and that there were systems in place to audit the way medication is managed.

We saw good interactions between people that lived at the scheme and the staff . Three people we spoke with told us that they were treated well by the staff. One person said, “The staff help me to do what I want.” We found that people were cared for by staff who were supported to deliver the care and treatment safely.

We saw that there were systems in place to manage behaviour that challenged the service . There were also good systems in place to minimise the risk of abuse and to manage this if it occurs.

This meant that people were carried for in a well-managed and run scheme that protects them from harm.