About the service:

• Enablement Service is a domiciliary care agency. The service is registered with the CQC to provide a service to younger adults and older adults some of whom might be living with dementia, learning disabilities or autistic spectrum disorder, physical disability and mental health needs.

• The service is designed for people who need support to regain their independence after a medical or social crisis.

• The service provides time limited support to people in their own home, for a period of six weeks initially.

• At the time of our inspection, there were 69 people receiving the regulated activity of personal care from the service.

People’s experience of using this service:

• Staff had not always received the training they required to enable them to meet the requirements of their role and to meet people’s needs.

We have made a recommendation about this.

• People received care from staff who were caring, kind and compassionate.

• People told us they were positive about the support they received from the service.

• People said they felt safe. Staff were aware of types and signs of abuse. They were clear about how to report any concerns and were confident that these would be fully investigated to help ensure people were protected.

• New staff completed an induction prior to working in the service.

• Safe recruitment procedures were followed to ensure staff were safe to work with people.

• People’s needs were assessed and their care was planned to maintain their safety, health and wellbeing.

• Risks were assessed and recorded to protect people. There were systems in place to monitor incidents and accidents.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

• There were policies in place which ensured people would be listened to and treated fairly if they complained. There was a process in place to enable the registered manager to respond to people’s concerns, investigate them and had taken action to address their concerns.

• The registered manager worked in partnership with health and care professionals.

• When required notifications had been completed to inform us of important events and incidents, this helped us to monitor the action the provider had taken.

• More information is in the detailed findings below.

Rating at last inspection:

• This is the first inspection of the service since their registration on 22 February 2018 with the Care Quality Commission.

Why we inspected:

• This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

• We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.