KEPA Care Solutions Limited

Updated 28 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

KEPA Care Solutions Limited 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 24 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.

Inspection activity started on 11 April 2023 and ended on 18 April 2023. We carried out telephone calls to people on 14 April 2023 and 18 April 2023. We visited the location’s office on 11 April 2023.

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. We also looked at information we held about the agency, such as notifications. Notifications are changes, events or incidents which the provider is required to tell us about by law. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service, 3 care workers, and the registered manager who was also the provider. We reviewed a range of records. This included 2 people's care records, risk assessments, daily records, medicine and health records. We also looked at 2 staff files including their recruitment, supervision and training records. We reviewed records relating to the management of the service, quality assurance records and a variety of policies and procedures implemented by the provider. We also looked at other records the provider kept, such as staff meetings minutes and surveys people completed to share their views as well as feedback from healthcare professionals.

Updated 28 April 2023

About the service

KEPA Care Solutions Limited is a domiciliary care agency providing personal care to people in their homes. The agency provides care and support for people in Rochester area of Medway. People receiving care and support were younger adults with epilepsy and Fragile X syndrome (condition characterized by an X chromosome that is abnormally susceptible to damage, especially by folic acid deficiency). At the time of the inspection, they were providing personal care to 2 people.

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.

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

We received positive feedback from people who used the service and relatives. A person said, “I am happy with my care.” Another said, “Staff who support me know my needs well and I am happy they do.”

The registered manager and staff understood how to keep people safe from abuse and raise safeguarding concerns. Care plans contained detailed risk assessments. Risk to people’s health and wellbeing were addressed and mitigated. Environmental risk assessments were also in place, which identified and reduced any environmental risks to people and staff.

People told us they felt at ease with staff. People were cared for by staff who treated them with kindness, dignity and respect.

There were enough staff deployed to meet people’s needs. The provider operated a safe and robust recruitment and selection procedure to make sure staff were suitable and safe to work with people. They also received support and supervision to enable them to carry out their roles safely.

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. People were encouraged to make their own choices about everyday matters. People’s decisions and choices were respected.

Where necessary, people were encouraged to have a healthy diet which met their health needs. People were supported and helped to maintain their health and to access health services when they needed them.

The service had an effective system in place to assess, monitor and improve the quality and safety of the services provided. Staff told us there was an open culture where they were kept informed about any changes to their role. Staff and people told us the manager was approachable and listened to their ideas and suggestions.

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 01 September 2021 and this is the first inspection.

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.