REXD Corporation Limited t/a Caremark (Cheshire West & Chester)

Updated 5 January 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by two inspectors 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 houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave 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 5 December 2022 and ended on 15 December 2022. We visited the location’s office on 6 December 2022.

What we did before the inspection

We reviewed information we had received about the service and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, director, care manager, care coordinator, field care supervisor and 3 care staff. We also spoke with 5 people who used the service and 5 relatives by telephone and contacted 4 professionals with experience of the service. We reviewed a range of records. This included 3 people’s care records, medication records and a variety of records relating to the management of the service, including policies and procedures. We also reviewed 4 staff files in relation to the recruitment, training and supervision of staff.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 5 January 2023

About the service

REXD Corporation Limited t/a Caremark (Cheshire West &Cheshire) is a domiciliary care agency registered to provide care and support to people who live in their own homes. At the time of the inspection there were 20 people receiving a service.

Not everyone who used the service received 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.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not provide care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

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

Right Support:

People were involved in developing their care plans. Care plans were person-centred and regularly reviewed and updated in line with people’s needs and wishes. Risk assessments were in place to manage and mitigate risks to people’s health and well-being. Medicines were safely managed.

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 practice.

Right Care:

People received person-centred care to meet their needs and wishes which was delivered by trained and competent staff. People told us they were treated with kindness and respect by staff and that their dignity was maintained.

Right Culture:

The service was well-led and staff felt well supported by the management team. There was a positive culture with focus on person-centred care that helped to improve people’s lives. The service worked in partnership with other professionals and organisations to promote good outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This service was registered with us on 21 July 2021 and this is the first inspection.

The service was previously registered under the name Caremark (Cheshire West and Chester) at a different address. The last rating for that service was Good (published 22 March 2019).

Why we inspected

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

Follow up

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