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Inspection Summary


Overall summary & rating

Good

Updated 3 March 2017

This inspection took place on 12 January 2017 and was announced. We gave the registered manager 48 hours' notice because the location provides a domiciliary care service and we needed to make sure someone would be in the office.

AcreCare Limited provides a domiciliary care service. It is registered to provide personal care to people living in their own homes. The service provided personal care to 90 people on the day of our inspection.

A registered manager was in post and was present during our inspection. 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.

People felt safe with the service provided to them and staff were aware of how to protect them from the risk of potential abuse. People were protected from the risk of harm because staff were aware of their responsibility of identifying possible risks and to avoid them happening. There were enough staff to ensure people's needs were met and to support them to take their prescribed medicines.

People were supported by staff who had been checked to make sure they were suitable to work in their homes. Employment and criminal records checks were carried out on all staff before they started work at the service. Staffing levels were kept under review and people saw the same staff regularly which helped to make sure they had consistency of care.

People were treated with respect and their privacy and dignity was promoted. People said their care workers were kind and caring. Staff were responsive to the needs of the people they supported and enabled them to maintain their independence as much as possible.

People were cared for by staff who were skilled and who received regular support and supervision. People's human rights were protected because staff applied the principles of the Mental Capacity Act in their care practices.

Staff had the skills and knowledge to understand and support people's individual needs. These skills were kept up to date through regular training.

People's care needs were assessed and measures were in place to manage risks. People were involved in the development of their care plans which provided staff with guidance on how to support people safely whilst promoting their independence. The provider had recognised care planning as an area they wished to develop greater detail.

There was a complaints procedure and people knew how to use it. People and their relatives were confident that any concerns raised would be responded listened to and addressed.

People benefitted from receiving a service that was managed well. Quality assurance systems were in place to monitor the quality of the care and support being delivered and the running of the service.

Inspection areas

Safe

Good

Updated 3 March 2017

The service was safe.

Procedures were in place to protect people from abuse. Staff were aware of these and were confident in reporting concerns.

People's needs had been assessed and risks to their safety were identified and managed effectively by staff.

People were supported to receive their medicines in a safe way.

Safe recruitment systems were followed to ensure staff were suitable to work with people. There were sufficient numbers of staff available to meet people's needs.

Effective

Good

Updated 3 March 2017

The service was effective.

Staff had received training to give them the skills and knowledge to meet people's needs effectively.

Staff respected people's right to make their own decisions and supported them to do so.

Where required, people were supported to eat and drink enough and access healthcare from other professionals.

Caring

Good

Updated 3 March 2017

The service was caring.

People were supported by a staff team that was caring and respectful.

People received individualised care from staff who knew people's individual preferences.

People's dignity and privacy were respected and people were supported to be as independent as possible.

Responsive

Good

Updated 3 March 2017

The service was responsive.

People's care needs were assessed, planned and in line with their needs.

People and their relative's views were taken into account to ensure the care provided was personalised.

People knew how to complain.

Well-led

Good

Updated 3 March 2017

The service was well led.

People were happy with the service they received and told us the service was well managed.

Staff were happy working at the service and felt supported by the registered manager.

Quality assurance systems were in place to monitor the quality of service being delivered.