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Unique Personnel (UK) Ltd - Lewisham is a domiciliary care agency that provides care and support to people living in their own homes. They supported older people some of whom may live with dementia and were also registered to support children in the community. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. At the time of our inspection 140 people were being supported with personal care. The service was registered with the CQC in February 2022, and this is the first inspection. An assessment has been undertaken of a specialist service that is registered for use by autistic people or people with a learning disability. At the time of the assessment, the service was not used by anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. Care plans provided advice and information on how to keep people safe, which staff followed. Risks to people were assessed and mitigated. However, further work was needed to ensure care plans and risk assessments were more detailed. The provider had enough staff to ensure people’s safety and meet their needs. People were supported to have choice and control and were involved in planning their care. People were protected from the risk of harm and abuse. People were supported with their medicines. Processes to record accidents and incidents were in place with lessons learned. There were systems for considering people's capacity to make specific decisions and to provide personalised care. The provider had systems to measure and monitor the service overall and to drive improvements. Staff received training and support to develop in their roles. People were treated with respect, kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their equality and diversity needs. Leaders in the service were knowledgeable and supportive of staff and shared a positive vision and culture.
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