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Archived: Care Rangers Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 March 2017

The inspection took place on the 23 and 24 January 2017 and was announced.

Care Rangers is a domiciliary care service providing a range of services including personal care for people in their own homes. They provided 49 hours of care to seven people at the time of our inspection. Care was delivered by the registered manager and two care workers. The service provided support to both older and younger people with diverse needs. For example, people who may be living with dementia, physical disabilities and learning disabilities.

The service had a registered manager who was also the owner / provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Relatives of people told us the service was safe and they were confident in the staff that provided care and support to people.

People were safe because staff understood their role and responsibilities to keep them safe from harm.

Staff had a good knowledge of the provider's whistleblowing policy and procedures which meant they were able to raise concerns to protect people from unsafe care.

Recruitment processes were in place to make sure people were cared for by suitable staff.

People were supported by staff who received regular training, support and supervision to help them provide effective care.

Staff understood the requirements of the Mental Capacity Act 2005 and their responsibilities to ensure that people who were unable to make their own decisions about their care and support were protected.

People and relatives had good relationships with the staff and were treated with dignity and respect.

The registered manager had failed to ensure incidents of possible abuse were reported to The Care Quality Commission.

We identified one breach of the Care Quality Commission (Registration) Regulations 2009.

Inspection areas

Safe

Good

Updated 1 March 2017

The service was safe. The registered manager had taken reasonable steps to ensure the recruitment of staff employed were of suitable character to care for people in their own homes.

There were arrangements in place to manage risks to people’s safety.

Appropriate arrangements were in place to ensure that there were sufficient numbers of staff available to support people.

Effective

Good

Updated 1 March 2017

The service was effective. Information relating to people’s ability to consent to their care and support was recorded.

Staff were supported in their role through regular supervision and appraisal.

Staff members had the skills and knowledge they required to help them to carry out their roles and responsibilities.

Caring

Good

Updated 1 March 2017

People and relatives told us that staff treated with kindness and consideration by.

People's care plans showed that they had been involved and that their opinions were an important part of the care planning process

Staff demonstrated a good knowledge and understanding of the people they cared for and supported.

Responsive

Good

Updated 1 March 2017

The service was responsive. Care plans contained information to guide staff on the most appropriate care people required to meet their needs.

Care plans were reviewed regularly or when people’s circumstances had changed.

The provider had a complaints policy which set out the process and timescales for dealing with complaints.

Well-led

Requires improvement

Updated 1 March 2017

The service was not always well-led. The registered manager did not ensure incidents or reports of possible abuse were reported to the commission.

The provider had established systems of quality monitoring which included seeking feedback about the service annually.

Peoples call times were consistent and calling schedules accurately reflected where care staff should be at any specific time.