Background to this inspection
Updated
27 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We looked to see if statutory notifications had been sent by the provider. A statutory notification contains information about important events which the provider is required to send to us by law. We used all of this information to plan our inspection.
During the inspection
We spoke with nine members of staff including the registered manager who is also the nominated individual for the service, a care coordinator, two risk assessment officers and five care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We spoke with one professional the service worked with, three people receiving the service and one family member.
We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, complaints, people’s feedback policies and procedures were reviewed.
Updated
27 February 2020
About the service
All Care In One Ltd is registered to provide personal care to people within their own homes and in a supported living setting. On the day of the inspection 61 people were being supported within their own homes.
Everyone who used the service received the regulated activity of ‘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.
People’s experience of using this service and what we found
Systems and processes were in place to keep people safe, risks were assessed and managed with regular reviews to ensure they met people’s needs. Staff were experienced and knowledgeable and the number of staff was sufficient to meet people's needs. Staff were aware of the infection control procedures the provider had in place. Incidents and accidents were monitored, and lessons were learned when things went wrong.
People’s needs and choices were assessed and care was reviewed regularly. Care plans identified the involvement of people in the care they received. Staff received regular training in relation to the needs of the people they supported and were able to request refresher training and additional training as needed. People were also supported to attend regular appointments and access therapeutic activities to promote healthier lives. Where required people were supported to eat healthy and maintain fluids.
Care was person-centred with people's privacy, dignity and equality maintained. People were involved in their care and supported to express their views and maintain their identity. The staff made every effort to get to know people and understand what was important to them.
Care was personalised, and people were supported to effectively communicate their needs and preferences. Complaints were recorded and effectively managed in line with the providers policy and procedures. While no-one was receiving end of life care there were end of life care plans in place.
Quality assurance systems were robust with spot checks and staff competency checks completed regularly. The registered manager understood their legal responsibilities in regard to safeguarding and notifications. The provider worked with other professionals such as district nurses and GP's to ensure care needs were met.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 Good (published July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.