Background to this inspection
Updated
4 April 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 under 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:
One inspector carried out this inspection.
Service and service type:
Concept Care Practice Limited - 20 Cross Street is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older people, some of whom may have dementia, a physical disability, a learning disability and/or mental health needs.
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 48 hours’ notice of the inspection visit because it is a small service and we needed to make sure the relevant staff and information would be available in the office.
The inspection site visit took place on 14 March 2019. We visited the office location to see the office staff and to review care records and policies and procedures. The registered manager was available and assisted us on the day of the visit.
What we did:
Before the inspection site visit:
¿ We looked at information the provider sent us in the Provider Information Return. 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 looked at all the information we had collected about the service. This included previous
inspection reports, information received and notifications the registered manager had sent us.
A notification is information about important events which the service is required to tell us about
by law.
¿ We contacted all three members of staff asking for feedback on working for the service and
received a response from one.
During the inspection site visit we looked at:
¿ One person's care plan, daily notes, monitoring records and medication sheets.
¿ The staff training matrix and the staff supervision and appraisal log.
¿ Management audits.
¿ Quality assurance survey forms completed with people who use the service.
¿ Policies and procedures.
¿ Records of compliments.
After the inspection site visit, for feedback of their experiences, we contacted:
¿ The relative of the one person currently using the service.
Updated
4 April 2019
About the service:
Concept Care Practice Limited - 20 Cross Street is a domiciliary care agency providing personal care to people living in their own homes. They mostly provide staff to care homes with and without nursing. However, that side of the business does not require registration with the Care Quality Commission (CQC). CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating, in their own homes. At the time of our inspection there was one person receiving personal care in their own home. The service is also registered to provide nursing care to people living in their own homes. However, that side of the service was dormant at the time of our inspection.
People’s experience of using this service:
¿ The service assessed risks to the health and wellbeing of people who use the service and staff.
Where risks were identified action was taken to reduce the risk where possible.
¿ Recruitment processes were in place to make sure, as far as possible, that people were
protected from staff being employed who were not suitable.
¿ Medicines were handled safely by staff who had been assessed as competent to do so.
¿ People received effective care from staff who were well trained and supervised.
¿ Feedback from relatives was that staff were caring and respected their family member's privacy
and dignity.
¿ Care was designed to meet people's individual needs and preferences.
¿ People were supported to have maximum choice and control of their lives and staff supported
them in the least restrictive way possible; the policies and systems in the service supported this
practice.
¿ Relatives knew how to complain and knew the process to follow if they had concerns.
¿ People's right to confidentiality was protected and their diverse needs were identified and
incorporated into their care plans where applicable.
¿ A relative told us, "I just can't fault them. I think they are absolutely brilliant. They never make
[Name] feel like anything is too much trouble."
Rating at last inspection:
Good. The report from the last inspection was published on 28 October 2016.
Why we inspected:
This was a planned comprehensive inspection carried out in line with our aim to re-inspect a service within 30 months of being given a rating of Good.
Follow up:
We will continue to monitor all information we receive about this service. This informs our ongoing assessment of their risk profile and ensures we are able to schedule the next inspection accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.