Office

Updated 6 April 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 1 inspector.

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 the service 48 hours’ 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.

What we did before the inspection

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.

During the inspection

We visited the service’s office on 13 February 2023. We spoke with the registered manager. We spoke with both people and 2 staff on 16 February 2023. We reviewed a range of records. This included 2 people's care records, medicines records and a variety of records relating to the management of the service.

Updated 6 April 2023

At the time of the inspection, the location did not care or support for anyone with a learning disability or autistic people. 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.

About the service

The London Care Project is a domiciliary care service which provides personal care support to people living in their own homes. 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, managing medicines, and eating. The service provides support to those with learning disabilities, autistic people, mental health needs, and younger adults. At the time of our inspection there were 2 adults using the service.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

Right Support: People who used the service were protected from abuse and harm. There were systems in place to help ensure the risks to people were as low as possible. People’s medicines were managed safely. The registered manager openly discussed amongst the staff team when things went wrong, highlighted what they had learnt and used this to make improvements.

Right Care: People told us staff were kind and caring and they felt they were listened to. People’s rights to dignity privacy and independence were promoted and respected. One person told us, “[My carer worker] never judges me and always listens to what I say and advises me when I need advice.”

People received care that was responsive to their needs and preferences. People had choices about how they wanted to spend their time and were supported to pursue their hobbies and interests. People were confident that concerns they raised would be dealt with appropriately.

Right Culture: The registered manager had processes in place to monitor and review the quality of the service for example, audits of care records. Feedback was sought from people using the service and relatives. This was used to drive forwards improvements and to learn lessons. People and staff were positive about the management of the service.

People had confidence in the ability of the staff to provide effective care. Staff received ongoing training to ensure their skills and knowledge remained up to date. 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 7 October 2019). At this inspection the rating has remained the same.

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.