We carried out a review of the data available to us about All Care In One Ltd 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 Care In One Ltd, you can give feedback on this 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.
The inspection we carried out on 22 June 2017 was announced. We gave the provider 48 hours’ notice of our intention to undertake an inspection. This was because the organisation provides a domiciliary care service to people in their homes; we needed to be sure that someone would be available at the office.
At the time of our inspection there were 32 people who were receiving a service.
At the time of our inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered managers, 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.
People and their relatives told us that people felt safe with the staff that supported them. Staff were knowledgeable about the actions they needed to take to protect people from harm. Risks associated with people’s needs were managed safely. There were sufficient numbers of suitably recruited staff to meet people’s needs. People received appropriate support to ensure they received their medicines as prescribed.
People received support from staff that were trained and supported to provide appropriate care. People were supported to maintain choice and control over their lives as far as possible so that their human rights to consent to care were maintained. People received support to have food and drink that met their nutritional and cultural needs and support was available to have their health needs met, where required.
People and their relatives were complimentary about the staff that supported them. Staff cared for people in a caring and sensitive manner and people were supported to remain as independent as possible.
People and their relatives knew how to raise any concerns they had and there were systems in place to gather the views of people to ensure they were happy with the service they received. Systems were in place to monitor the quality of the service.
This inspection was announced and carried out by two inspectors.
All Care in One Ltd is a domiciliary care service providing support to people in their own homes. At the time of our inspection there were 17 people who were receiving a service.
There was a registered manager in post when we inspected. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered managers, 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.
At the inspection we only looked at whether the service had made improvements in the recruitment process and the quality monitoring of the service.
We saw that some improvements had been made to the systems in place for monitoring and improving the quality of the service but the systems were not fully embedded and further improvements were needed. This was an on-going breach of regulations.
We found that all the appropriate checks were being undertaken to ensure that only people suitable to work with people in their own homes were being employed.
You can see what action we have asked the provider to take at the end of the report.
Before our inspection we had received some concerns regarding the management of the service so we decided to bring our scheduled inspection forward and carry out an unannounced inspection.
All Care in One Ltd provides a domiciliary care service to people in their own homes. There were 19 care packages in place at the time of our inspection.
There was a registered manager in post. 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.
At the time of our inspection we found that the registered provider was not always fulfilling their responsibilities to ensure that people were kept safe from harm through the operation of systems and procedures that protected people. This was because sufficient checks had not been undertaken to ensure that staff had been safely employed by the service. This was a breach of regulations.
The systems in place for monitoring and improving the quality of the service were not sufficient to enable shortfalls to be identified and for the appropriate actions to be taken to improve the service and ensure the safety of people receiving care. People’s information was not always kept safe and secure. This was a breach of regulations. This was a breach of regulations.
You can see what action we told the provider to take at the back of the full version of the report.
People were generally happy with the service provided by caring staff but there were some missed and late calls and people did not always feel respected and valued because of this.
People were protected from abuse and harm because staff had the skills to identify abuse and escalate concerns they had.
People were cared for by staff that had the skills, support and knowledge to do so.
People’s privacy and dignity was maintained by staff providing personal care.
Systems were in place to gather the people’s views and people felt confident they could raise any concerns they may have and they would be listened to.