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Inspection Summary


Overall summary & rating

Good

Updated 18 November 2015

We carried out an unannounced comprehensive inspection of this service on 22 December 2014 at which one breach of legal requirement was found. The registered provider had not ensured that staff were trained in the Mental Capacity Act 2005 (MCA) and there were no systems in place to record people’s consent with all care provided.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach.

We undertook a short notice announced focused inspection on 29 September 2015 to check that they had followed their plan and met legal requirements. We found that the provider had followed their plan and legal requirements had been met.

This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Practical Care on our website at www.cqc.org.uk.

Practical Care is registered to provide personal care services to people living in their own homes. The services they provide include personal care, housework, shopping and assistance with medicines.

The service had 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’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

We found that staff had received training in the MCA, and understood their responsibilities under this act. Improvements had been made to the service’s care records to include people’s consent to any changes in their care provisions, or make decisions in their best interests if required.

Inspection areas

Safe

Good

Updated 14 April 2015

The service was safe. There were arrangements to protect people from the risk of abuse.

Assessments were undertaken of risks to people who used the service and staff. Written plans were in place to manage these risks. There were processes for recording accidents and incidents and changes in people’s needs.

There were appropriate recruitment procedures in place and enough staff to meet the needs of people who used the service.

Systems were in place to ensure that people were provided with their prescribed medicines safely.

Effective

Good

Updated 18 November 2015

The service was effective. Staff were trained in the requirements of the Mental Capacity Act 2005 and consent was obtained from people for the care provided.

Caring

Good

Updated 14 April 2015

The service was caring. People who used the service spoke highly of the staff and the way that they supported them.

Staff were respectful of people’s privacy and dignity, and involved people in making decisions about the care they received.

Responsive

Good

Updated 14 April 2015

The service was responsive to people. Care plans were in place outlining people’s care and support needs. Staff were knowledgeable about people’s needs, their interests and preferences in order to provide a personalised service.

People who used the service and their relatives felt that the staff and registered manager were approachable and took action to address their changing needs, or any concerns they had.

Well-led

Good

Updated 14 April 2015

The service was well-led. Staff were supported by their manager. There was clear communication within the staff team and staff felt comfortable discussing any concerns with the registered manager.

The registered manager regularly checked the quality of the service provided and made sure people were happy with the service they received.