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Inspection Summary


Overall summary & rating

Good

Updated 3 April 2019

About the service: Mackley Home Care Limited is a small domiciliary care agency. It provides personal care to people living in their own houses and flats. It mainly provides a service to older adults. At this service two registered managers share the responsibilities as registered manager, one working on a full-time basis and the other part time. At the time of the inspection there were 15 people receiving personal care from the service.

People’s experience of using this service:

¿ Some improvement was needed to ensure a recommendation we had made at the last inspection in relation to medicines management was fully acted on in a timely way.

¿ The registered manager assessed and monitored the quality of service delivered through spot checks, monitoring visits and audits. However, the medicines audit required some improvement to ensure they were fully effective.

¿ The registered managers worked together and communicated regularly. They understood their roles and responsibilities and their registration requirements.

¿ People and their relatives’ views about the service were sought and considered to make improvements.

¿ The registered managers worked in partnership with the local authority and health and social care professionals to meet people’s needs

¿ People felt safe using the service and staff had a clear understanding of safeguarding procedures.

¿ There were enough staff to meet the needs of people using the service. No new staff had been recruited but there was a system for safe recruitment practices to be followed.

¿ Risks to people had been identified and assessed to ensure people’s needs were safely met.

¿ People were receiving their medicines as prescribed by health care professionals and staff understood how to reduce the risk of the spread of infections.

¿ Assessments of people’s care and support needs were carried out when they started to use the service.

¿ Staff received training and support to meet people’s needs.

¿ 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 support this practice.

¿ People were supported, where needed to maintain a balanced diet.

¿ People told us staff were kind, caring and respected their dignity and privacy. They enjoyed having the same staff members to give them care and support.

¿ People were consulted about their care and support needs.

¿ People received personalised care from staff members who knew them well.

¿ Staff received training on end of life care and end of life care and support could be provided to people when required.

¿ People and their relatives knew how to make a complaint if they were unhappy with the service.

Rating at last inspection: Good (Report published on 13 December 2016).

Why we inspected: This was a planned inspection based on the last inspection rating.

Follow up: We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 3 April 2019

The service was safe

Details are in our Safe findings below

Effective

Good

Updated 3 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 3 April 2019

The service was caring

Details are in our Caring findings below

Responsive

Good

Updated 3 April 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Requires improvement

Updated 3 April 2019

The service was not always well-led

Details are in our Well-Led findings below.