Sylk Care Macclesfield

Updated 4 December 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. 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

The inspection was carried out by an inspector and an 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.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes,

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 short period of notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 18 November 2019 and ended on 22 November 2019. We visited the office location on 19 November 2019.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed information we had received about the service. We also sought feedback from the local authority. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and five relatives about their experience of the care provided. We spoke with the nominated individual, registered manager and three support workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also sought feedback from two professionals who have experience of liaising with the service.

We reviewed a range of records. This included three people’s care records and a sample of 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 policies and procedures were reviewed.

Updated 4 December 2019

About the service

Sylk Care Macclesfield is a domiciliary care service that provides care and support to ten people living in their own homes.

People’s experience of using this service and what we found

People received care that was safe and they were protected from abuse and avoidable harm. Systems were in place to record accidents and incidents although none had occurred in the last twelve months. Safe recruitment procedures were followed ensuring people were supported by suitable staff. People were supported to take their medicines safely by trained and competent staff.

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.

A detailed assessment was carried out before people received a service to ensure their needs could be met. Following the initial assessment, a comprehensive support plan was developed promote effective care. People were supported to make choices and were involved in decisions about their care.

People experienced care delivered by consistent and trusted staff who were caring and respectful. There were opportunities for people and their relatives to provide their views of the care they received.

People knew who to speak with if they had any concerns. Care was person-centred and outcome based. People told us they were satisfied with the care they received.

Sylk Care Macclesfield was well-led. Systems were in place to assess and monitor the quality of the service. The management team were clear about the responsibilities of their roles and had plans in place to maintain and develop 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 This service was registered with us on 28/11/2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration of the service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.