Background to this inspection
Updated
16 December 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses or flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 03 November 2022 and ended on 25 November 2022. We visited the location's office/service on 03 November 2022.
What we did before the inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority, Healthwatch and a local advocacy organisation. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
During the inspection
We spoke with 5 people who used the service and 7 relatives about their experience of the care provided. We spoke with 6 staff, this included the registered manager, who is also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included 4 people's care records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including audits and policies and procedures, were reviewed.
Following our visits to the office, we continued to seek clarification from the provider to validate evidence found. We looked at training data, electronic call monitoring data and quality assurance records.
Updated
16 December 2022
About the service
Your Safe Homecare Limited, trading as, Kare Plus Leeds is a domiciliary care agency. The service provides personal care to people in their own homes in the community. At the time of our inspection there were 33 people using the service.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support for 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.
People’s experience of using this service and what we found
People and their relatives told us they felt safe using the service. There were enough staff available to meet people's needs. The provider had a robust recruitment process to ensure suitable staff were employed. People were supported to take their medicines safely. People told us most staff followed the correct infection control practices.
People's needs were assessed before they started using the service and regularly or as their needs changed after the service had started. Information gathered was used to create person-centred risk assessments and care plans. We saw how people had been involved and consented to the care plans and risk assessments.
New staff received an induction programme and all staff had completed a range of training which gave them the skills and knowledge to care for people in their own homes. Staff were supported with training and supervision to ensure safe care.
Staff demonstrated they knew people well and understood the way people wanted to be cared for. Staff obtained people's consent before delivering care. People's privacy, dignity and independence were promoted. Staff understood how to provide personalised care.
The service was well managed. The registered manager was knowledgeable and responsive to feedback about the service. Governance systems were in place to ensure all aspects of the service were reviewed and checked regularly. Feedback and lessons learnt were used to improve the service.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 April 2021 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration and the date 'regulated activity' started.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.