12 July 2023
During a routine inspection
At the time of the inspection, the location did not 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.
About the service
Approvez medi-care Ltd Newham is a domiciliary care service providing personal care support to people in their homes. At the time of our inspection 1 person was using the service.
People’s experience of using this service and what we found
Right Support
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 using the service told us they felt safe receiving care and support. Staff had received safeguarding training and knew how to report allegations of abuse. People had appropriate risk assessments in place to reduce the risk of harm they faced. The service monitored these risks and would update accordingly should people’s needs change.
At the time of the inspection, the person was not being supported with their medicines. however, staff still checked medicines to ensure they had not expired. Systems were in place to assess and reduce risks people faced when taking medicines and staff had received training. The risk of infection was reduced, and staff wore personal protective equipment to keep people safe. Independence was encouraged to help people maintain the skills they had.
Right Care
People told us staff were kind and caring and staff respected people’s privacy and dignity. Staff respected people as individuals and did not discriminate. Equality and diversity training had been completed.
Care plans were personalised, and people told us the care received met their needs. People’s preferences were respected. Communication needs were assessed, and information could be provided in alternative formats for people to understand.
People told us staff were on time and stayed for the full duration of their call. People were pleased they had a consistent team of staff to provide them with support. Staff were recruited to the service following the providers policy and procedure and appropriate checks carried out to ensure staff suitability.
An assessment of needs was carried out before care was given and people felt involved in this process. Consent to care was requested before care began and people told us staff asked for their permission at each stage of care delivery. People were supported to have enough to eat and drink.
Right Culture
People and staff were complimentary of the support available from the registered manager. The registered manager was aware of being open and transparent and welcomed opportunities to learn after any accident or incident. Systems were in place to monitor the quality of the service and feedback was requested from people, relatives and staff.
Staff were supported with a full induction and training programme which involved shadowing an experienced member of staff. Records confirmed staff received supervision and systems were in place to provide staff with an appraisal.
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 13 November 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.