We carried out a review of the data available to us about All About You Care Services Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about All About You Care Services Limited, you can give feedback on this service.
All About You Care Services is a domiciliary care agency, providing personal care to people in their own homes. The service also provides support to people living in a supported living and extra care setting. The service is based on Poulton Industrial Estate and provides support to people with a range of needs including older people and people with physical and learning disabilities. At the time of our inspection visit the service supported 225 people.
All About You Care Services provides personal care and support to individuals within their own homes. CQC only inspects the service received by people provided with their personal care and help with tasks related to personal hygiene and eating.
The service provides care and support to five people living in a supported living setting so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.
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.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People’s care and support had been planned in partnership with them. People felt consulted and listened to about how their care would be delivered. Care plans were organised and had identified the care and support people required.
People were positive about the service and said staff were kind and caring. People were treated with dignity and respect and were fully involved in their care planning and delivery. People's right to privacy was upheld.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the supported living setting reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The service was flexible and care packages were changed and adapted to meet people's changing needs and choices. There was good communication between the service and people they supported to ensure positive outcomes for people were achieved.
Staff had been recruited safely, appropriately trained and supported. People told us their visits were well managed and staff who visited them knew and met their care needs.
The service used a variety of methods to assess and monitor the quality of the service. These included regular audits and satisfaction surveys to seek people’s views about the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 08 October 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up:
The next scheduled inspection will be in keeping with the overall rating. We will continue to monitor information we receive from and about the service. We may inspect sooner if we receive concerning information about the service.
All About You Care Services Limited was inspected on the 30 May 2018 and the 04 June 2018. The first day of the inspection was unannounced. The second day was announced.
This service is a domiciliary care agency. It provides personal care to people with a range of needs including older people and people with physical and learning disabilities. In addition, this service provides care and support to people living in a supported living setting so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The agency is based on the Industrial Estate at Poulton-Le-Fylde. At the time of our inspection visit All About You Care Services Limited provided care and support to 189 people. Not everyone using All About You Care Services Limited receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
It is a statutory requirement that registered providers of health and social care services display their performance assessment from the last Care Quality Commission inspection report. At the last inspection in August 2016 we rated the service as good. We found the rating from the inspection carried out in August 2016 was not displayed on the registered provider’s website or in the office of the agency. This was a breach of Regulation 20A of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Requirement as to display of performance assessments.) You can see the action we told the provider to take in the full version of the report. Prior to the inspection concluding we saw the rating was displayed as required.
At our last inspection in August 2016 the service was rated as good. At this inspection in May and June 2018, we found some records required further information to support staff to deliver care. We have made a recommendation regarding this.
We found quality audits were carried out to identify if improvements were required and people were asked their views on the service provided.
We found medicines were managed safely and people told us they were happy with the way their medicines were managed. We noted an error on the paperwork within the supported living service, and the temperature of the room where medicines were stored was not monitored. Prior to the inspection concluding, we were informed this had been rectified.
The registered provider completed a series of checks and investigations to identify where improvements were required in the quality of the service provided. Staff told us they were informed of the outcomes of these and told us they were proud to work for All About You Care Service Limited. They told us, We’re a professional team. We know our jobs and do them to a good standard.” Also, “I like working for an agency that wants to do the right thing by service users.”
Staff we spoke with knew the needs and wishes of people they supported. Staff spoke fondly of the people they supported and said they wanted to enable people to live independently in their own homes.
People told us they felt respected and valued and they considered staff to be patient and caring. People told us staff were kind. One person told us, “The kindness they show me is simply amazing.” Relatives we spoke with also commented on the caring nature of staff. One relatives said, ““They sit on the edge of the bed and talk to [my family member.] That means a lot.”
Relatives told us they were consulted and involved in their family members care. People we spoke with confirmed they were involved in their care planning if they wished to be.
Staff we spoke with were able to describe the help and support people required to maintain their safety and people who received support told us they felt safe. Staff were trained to ensure their knowledge was in line with best practice.
People told us they were supported to access healthcare professionals if this was needed. Relatives we spoke with also confirmed staff supported their family members to gain medical advice if this was required.
People told us they could raise their views on the service provided and there was a complaints procedure for people and relatives to use if they wished. We viewed a complaint and saw this was being responded to.
Staff supported people to have a nutritious dietary and fluid intake. Assistance was provided in preparation of food and drinks as they needed. Staff told us they would report any concerns regarding nutrition and hydration so action could be taken. The registered provider sought healthcare support when appropriate for people supported by All about You Care Services Limited.
Staff told us and people confirmed that staff wore protective clothing when required. This minimised the risk and spread of infection.
Staff told us they were committed to protecting people at the home from abuse and would raise any concerns with the registered manager or the Lancashire Safeguarding Authorities so people were protected.
Recruitment checks were carried out to ensure suitable people were employed to work at the service and staff told us they were supported to attend training to maintain and increase their skills.
There were sufficient staff to support people. People and relatives, we spoke with told us that overall they were happy with the staffing arrangements. People told us there were few occasions when staff were late, but these were unavoidable and they usually received a phone call to advise them of this. Staff we spoke with raised no concerns with the staffing arrangements.
People told us they were supported in accordance with their commissioned care package and they valued the staff who supported them.
The registered manager demonstrated their understanding of the Mental Capacity Act 2005. People told us they were enabled to make decisions and staff told us they would help people with decision making if this was required. People are supported to have maximum choice and control in their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Staff told us that at the current time, they were not supporting anyone with End of Life care needs. They told us and we saw that training was available and could be accessed as required. Staff told us they were confident they would be able to meet people’s needs.
This was the services first inspection since its re- registration with the Care Quality Commission (CQC). This was because the service had moved premises.
All About You Care Services Limited is a domiciliary care agency, providing personal care to people in their own homes. The service provides support to people living in the general community and to people living in a supported living service. People in the supported living service receive care which aims to promote their independence. The agency is based on Poulton Industrial Estate and provides support to people with a range of needs including older people and people with physical and learning disabilities. At the time of our inspection visit All About You Care Services Limited provided services to 190 people.
There was a registered manager in place. 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.
Staff knew the people they supported and provided a personalised service. Care plans were in place detailing how people wished their care to be delivered. People told us they had been involved in making decisions about their care.
People supported by the service in the community told us staff who visited them were polite, reliable and professional in their approach to their work. Comments received included, “My carers are the best you could wish for. It really is all about you with them. My youngest carer is an angel.” And, “The girls who visit me are good time keepers and are kind and caring.”
People we spoke with told us they felt safe. They told us they received patient and safe care and they liked the staff who supported them. They said staff were respectful, friendly and conscientious. One person said, “I would not swap my carers for anyone. I cannot speak highly enough about the service I receive.”
The registered manager had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.
The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.
Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. These had been kept under review and were relevant to the care being provided.
Care plans were in place detailing how people wished to be supported. People who received support or where appropriate their relatives were involved in decisions and consented to their care.
The registered manager had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.
The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.
We found recruitment procedures were safe with appropriate checks undertaken before new staff members commenced their employment. Staff spoken with told us their recruitment had been thorough and professional.
Newly appointed staff received induction training completed at the services office base over a three day period. This was followed by shadowing experienced colleagues until they felt safe to support people unsupervised. One staff member said, “During my induction I visited people who were going to be my clients. I found this really helpful because I had met my clients and understood the support they needed and how they wanted it to be provided.”
Staff received regular training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care and support needs.
We visited one supported living house where people five people lived. We saw staff had a good relationship with the people in their care. We spoke with the relatives of two people who lived at the house. They told us they were happy with the care provided. One person said, “100% happy. I cannot fault the care [relative] receives.”
Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required. People told us they received their medicines at the times they needed them.
Staff supported people to have a nutritious dietary and fluid intake. Assistance was provided in preparation of food and drinks as they needed.
People who used the service and their relatives knew how to raise a concern or to make a complaint. The complaints procedure was available and people said they were encouraged to raise concerns. Where people had expressed concerns appropriate action had been quickly taken.
The registered manager used a variety of methods to assess and monitor the quality of the service. These included satisfaction surveys, spot checks, house meetings and care reviews. We found people were satisfied with the service they received.