1 To 1 Care UK Ltd

Updated 26 June 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one 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:

1 to 1 Care are a domiciliary care agency (DCA). The service provides personal care to people living in their own homes in the community. There was a registered manager. 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’. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was announced and took place on 21 May 2019. We gave the service 48 hours’ notice of the inspection visit because we needed to be sure the management would be in the office.

What we did:

Before the inspection we reviewed the information we held about the service and the service provider. The registered provider completed the Provider Information Return (PIR) and returned within a required timescale. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

During the site office visit we looked at records, which included four people’s care records. We checked recruitment, training and supervision records for two staff. We looked at a range of records about how the service was managed. We spoke with the director, the registered manager, the care co-ordinator and two care staff. We also spoke with one service user who visited the provider’s office accompanied by a staff member.

After the site inspection visit we contacted ten people and relatives to gather their feedback. We also contacted seven external health and social care professionals, including commissioners to obtain their views about the service.

Updated 26 June 2019

About the service:

This service is a domiciliary care agency (DCA). It provides personal care to people living in their own homes, including people living with dementia. On the day of the inspection 48 people were receiving personal care.

People’s experience of using this service:

People continued to be safe. Risks to people's individual conditions and their environment had been assessed, recorded and updated when people’s circumstances changed. There were sufficient staff and people experienced continuity of care. The provider followed safe recruitment processes. People received their medicines as prescribed.

People continued to receive effective care from staff that had ongoing training that was relevant to their roles. People were supported to have choice and control of their lives and staff respected their rights to make their own decisions. People, if needed, were supported to access healthcare services and eat and drink well.

The service remained caring. Staff were caring and treated people with dignity and respect. People were supported to be independent as much as possible. People’s privacy was respected, and people’s personal care records were kept secure to ensure confidentiality.

People received support that met their assessed needs. Staff knew people’s needs well and this allowed them to respond promptly to any changes. People had opportunity to feedback their views in a number of ways and the service took action as a result of feedback to improve.

The registered manager ensured people and staff were involved and consulted. The management team monitored various aspects of the service delivery and took appropriate corrective action when required. The team were open, transparent and shared the same vision of providing a person centred approach to people.

Rating at last inspection:

Good (report published 24 November 2016).

Why we inspected:

This was our scheduled, planned inspection based on previous rating

Follow up:

We will monitor all intelligence received about the service to inform the assessment of the risk profile of the service and to ensure the next planned inspection is scheduled accordingly.

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