Wesleycare Limited

Wesleycare ltd is a domiciliary care agency providing personal care to people in their own homes. The service provides support to older people, younger people, people with physical disabilities and people living with dementia. At the time of our inspection there were 39 people using the service.

People’s experience of the service and what we found:

At the time of the inspection there were enough appropriately skilled staff to meet people's needs and keep them safe. However, governance systems were not always in place to mitigate the risk of there being a lack of staff to support people. Staff told us they received support and supervision but there were no records available to evidence this.

People told us they were happy with their care and that the registered manager responded when they had concerns. We found risk assessments and risk mitigation plans were in place and medicines were managed in a safe way. Staff understood how to protect people from poor care and abuse and the service worked with other agencies to do so. Staff promoted equality and diversity in their support for people.

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. The inspection was undertaken on 2 February 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘All inspection reports and timeline’ link for Wesleycare Ltd on our website at www.cqc.org.uk.

Enforcement

We have identified a breach in relation to the provider's governance systems. Please see the action we have told the provider to take at the end of this report.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Wesleycare is a domiciliary care agency that provides personal care and support to people living in their own homes. Care staff call at people’s homes to provide personal care and support at set times agreed with them. At the time of our inspection there were nine people who received personal care through Wesleycare, all of whom were located in the Worcestershire area.

There was a new registered manager in post who had received confirmation of their registration on 2 February 2018. A requirement of the service’s registration is that they have 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 2008 and associated regulations about how the service is run.

This was the first inspection of the service following its registration with CQC. The service had only been operating for a few weeks even though it had been registered with us since October 2015, and therefore the new manager was developing systems and processes to ensure people received a quality service.

People were positive about the care they received and were complimentary of the care staff that supported them. People said they felt safe when supported by care staff. Care staff understood how to protect people from the risk of abuse and there were processes in place to minimise risks to people’s safety, which included information about people’s individual risks in their care plans.

Checks were carried out prior to care staff starting work to ensure their suitability to work with people who used the service. New care staff completed induction training and shadowed more experienced care staff to help develop their skills and knowledge before supporting people independently. This ensured they were able to meet people’s needs effectively.

All care staff had been provided with a staff handbook containing the policies of Wesleycare to support them to provide safe and effective care to people. Care staff received specialist training on how to manage medicines so they could safely support people to take them.

People received a service based on their personal needs and care staff usually arrived to carry out their care and support within the timeframes agreed.

People told us care staff maintained their privacy and dignity. People’s nutritional needs were met by the service where appropriate.

The registered manager and care staff understood the principles of the Mental Capacity Act (MCA) and how to put these into practice. Care staff told us they gained people’s consent before giving care.

The manager/provider had processes to monitor the quality of the service and to understand the experiences of people who used the service. This included regular communication with people, staff, and record checks. People knew how to raise concerns if needed. However, no one had made an official complaint at the service.

However, monitoring and quality systems required improvement to show the findings of checks performed at the service, so that lessons could be learnt to improve the service. Record keeping required improvement to ensure there was a full record of people’s care available in the provider’s office.