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We are carrying out checks at Everlasting Care Ltd using our new way of inspecting services. We will publish a report when our check is complete.


Inspection carried out on 11 December 2014

During a routine inspection

We undertook an announced inspection at Everlasting Care Ltd on 11 December 2014. We told the registered provider two days before our visit that we would be coming. This was due to the nature of the service and to ensure people who used the service and staff were available to assist us with the inspection.

This was the first inspection at this location. A previous inspection undertaken on 11 February 2013 at the registered providers previous location found there was a breach of regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. We found an issue with record keeping at the service. We said, “People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not maintained.” We said this had a minor impact on people who used the service. At this inspection we found that improvements have been made and the registered provider had rectified the issues identified.

The service is registered to provide personal care and support to people within their own homes; some of whom are living with dementia or related conditions, learning disabilities, mental health issues and/or a physical disability. At the time of our inspection there were 66 people using the service that received support and personal care.

The service had a registered manager in place who had been registered with the Care Quality Commission to manage the service. 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.

The registered provider had policies and procedures in place which were there to protect people from abuse. Staff we spoke with understood the types of abuse and what the procedure was to report any such incidents. Records showed staff had received training in how to safeguard adults. A whistleblowing policy was also in place. Staff we spoke with again demonstrated what process to follow when raising concerns.

Social work or healthcare professionals assessed the dependency level of people who used the service. They then decided the correct staffing needed to provide effective support to people. Records showed the registered provider had sufficient staff in place to meet people’s needs.

Staff received training that was specifically designed to give them the correct skills for their role. Records and staff confirmed they had received the training required for their role. Staff received supervision and appraisal.

There was an effective recruitment system in place to ensure that those staff employed were safe to work with vulnerable people. Suitable checks were carried out for prospective candidates before they started working with people.

People’s medicines were managed effectively and the registered provider had policies and procedures in place to provide staff with guidance in this area. Staff demonstrated a good knowledge of how to manage people’s medicines safely.

Mental capacity was assessed by either social work or healthcare professionals and this information was shared with the registered provider who used them to develop care plans for people. Where people lacked capacity, decisions were taken in their best interests. Care plans included instructions on how they should be supported and included their needs, likes and dislikes.

People told us staff knew them well and had a good understanding of their needs. They said staff were respectful to them when supporting them. People’s wellbeing was monitored and people were supported to access support from healthcare professionals such as, general practitioners.

The registered provider measured quality assurance by providing people with surveys to obtain their views on the quality of the service they received. The registered manager also monitored safety and quality at their head office and in people’s own homes. The areas monitored included; health and safety, infection control and fire safety. We saw staff views were obtained during individual one to one supervisions and staff meetings and that these meetings were recorded.

The registered provider kept records including; care plans, risk assessments and staff files. These were well maintained and fit for purpose. We saw they were stored securely.