Enterprise Care Support Limited

Updated 15 December 2022

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 and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Enterprise Care Support Limited is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service a weeks’ notice of the inspection. This was because we needed to be sure that the registered manager would be in their office to support the inspection.

Inspection activity started on 27 October 2022 and ended on 7 November 2022. We visited the provider’s office on the second day of this inspection.

What we did before the inspection

We reviewed information we had received about the service since the last 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 used all this information to plan our inspection.

During the inspection

We spoke in-person with the office-based registered manager, care coordinator and a member of the business support team. We also received telephone and/or email feedback from 5 people using the service, 2 relatives and 1 community health care professional in relation to their experiences of using or working with this home care agency.

Records we looked at as part of this inspection included, 8 people’s care plans, 5 staff files in relation to their recruitment, training and supervision, and a variety of other records relating to the overall management and governance of the agency.

After we visited the providers offices, we continued to seek clarification from them to validate evidence found. We requested the provider send us additional evidence after our inspection in relation to the staff working roster.

Updated 15 December 2022

About the service

Enterprise Care Support Limited is a domiciliary care agency providing personal care to older people living in their own homes. At the time of our inspection 70 people were receiving personal care at home from this provider. The Care Quality Commission (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

People using the service and their relatives told us they were satisfied with the overall standard of care and support they received from this home care agency. People typically described staff as “kind”. One person said, “They’re very kind and are doing what they are supposed to. I’m happy with the service I receive, and I’d give them ten out of ten.” A relative added, “They [staff] know how to do a good job and have the skills to do what my [family member] needs. Overall, I’m quite pleased with the level of care provided.”

At our last inspection we found the provider had failed to always ensure people were not placed at risk of harm because of the way they supervised and supported staff, managed complaints, operated their governance systems, coordinated and monitored staffing, and maintained medicine’s records.

At this inspection we saw enough improvement had been made by the provider in relation to the way they now supervised and supported staff, managed complaints, operated their governance systems, coordinated staffs scheduled call visits and monitored their time keeping, and maintained medicine’s records.

People were kept safe and protected against the risk of avoidable harm and abuse. People received consistently good-quality and safe personal care from the same group of staff who were familiar with their needs and preferences. The fitness and suitability of staff to work in adult social care had been thoroughly assessed as part of the providers robust recruitment procedures. Staff followed current best practice guidelines regarding the prevention and control of infection, including those associated with COVID-19. People continued to receive their prescribed medicines as and when they should.

Staff had the right mix of knowledge and skills to deliver good-quality, safe care. People's care plans were person-centred, which helped staff provide them with the individualised care at home they needed. Staff ensured they communicated and shared information with people in a way they could easily understand. People were encouraged to make decisions about the care and support they received at home and staff respected their informed choices. Where appropriate, people's end of life wishes, and contacts were known and recorded for staff to refer to.

People were all complimentary about the way the registered manager and office-based staff ran the service, and how approachable they were. The managers promoted an open and inclusive culture which sought the views of people, their relatives and staff. The provider worked in close partnership with other health and social care professionals and agencies to plan and deliver people's packages of care at home.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 24 May 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, responsive and well-led which contain those requirements.

For the key question caring, which was not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

At our last inspection the key question of effective was rated good. We have not changed the rating as we have not looked at all of the effective key question at this inspection. The purpose of this inspection was to check if the provider had addressed a concern, we had about staff support. We will assess the whole key question at the next comprehensive inspection of the service.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Enterprise Care Support Limited on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. If we receive any concerning information, we may inspect sooner.