Selective Care

Updated 13 March 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

• The inspection team comprised one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service, in this case services for older people.

Service and service type:

• The service is a home care agency. It provides personal care to people living in their own houses and flats. It provides a service to adults with a range of care needs.

• Not everyone using the service received regulated activity. CQC only inspects the service being received by people provided with personal care, that is help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

• The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

• We gave the service a week’s notice of the inspection so the provider could contact people we planned to telephone or visit and make sure they consented to our contacting them.

• Telephone calls with people using the service and their families started on 4 February 2019. We visited the office on 7 Febraury 2019 to see the manager and staff, and to see care records, policies and procedures.

What we did:

Before the inspection we looked at information we held about the service:

• We require providers to send us key information about their service, what they do well, and improvements they plan to make. We call this the Provider Information Return (PIR). This information helps support our inspections.

• The law requires providers to notify us of certain events that happen during the running of a service. We reviewed notifications received since the last inspection.

• We reviewed the previous inspection report.

During the inspection:

• We spoke with five people who used the service and five family members by telephone.

• We spoke with the registered manager, the managing director, and two staff members.

• We looked at the care records of three people.

• We looked at four staff records, including training and recruitment records.

• We looked at other records to do with the management of the service.

After the inspection the provider sent us:

• Records relating to staff training and people’s medicines care plans.

Updated 13 March 2019

About the service:

• Selective Care is a home care service. At the time of the inspection the service was supporting 76 people in their own home. People supported included older people, people with a learning disability and people living with dementia.

• For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk.

People’s experience of using this service:

• People and their families gave us positive feedback about all aspects of the service they received.

• Comments included “quite happy with the service” and, “They give me all that I need. They are top rate.”

• Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions safe, responsive and well-led to at least good.

• At this inspection we found the provider had made the required improvements to people’s care records and to their processes for notifying us of certain events. There were no longer any breaches of regulations.

• People received a service that was safe. The provider had processes to manage medicines safely and protect people from risks.

• People received care and support from staff whose training made sure they had the right skills and knowledge. People’s care and support led to good outcomes.

• Care workers had developed good relationships with people they supported. They respected people’s dignity and privacy, and promoted their independence.

• People’s care and support met their needs and reflected their preferences.

• Management processes were in place to monitor and improve the quality of the service. There was a positive, open and empowering culture.

Rating at last inspection:

• At our last inspection (published 1 February 2018) we rated the service requires improvement.

Why we inspected:

• This was a planned inspection based on the date of and rating at the last inspection. At the last inspection we found breaches of three regulations. The provider sent us an action plan with dates when they planned to be compliant with those regulations. At this inspection we checked that they had made and sustained those improvements.

Follow up:

• We did not identify any concerns at this inspection. We will therefore re-inspect this service within our published timeframe for services rated good. We will continue to monitor the service through the information we receive.