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Careline Homecare (South Tyneside) Good

We are carrying out a review of quality at Careline Homecare (South Tyneside). We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 8 March 2017

This inspection was carried out on 21 December 2016 and was announced. We gave the registered provider 24 hours’ notice as it was an extra care service and we wanted to make sure someone would be in.

The last inspection of this service was carried out in August 2015. At that time the provider was failing to meet the regulations relating to medicines management. The provider sent us an action plan showing how they intended to address these matters. During this inspection we found the provider had made improvements in all these areas.

Careline Homecare (South Tyneside) is registered to provide personal care to people living in their own homes. At the time of the inspection there were 350 people in receipt of a care service.

The service had a registered manager who had been in post since January 2016. 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.’

Staff had a good understanding of how to safeguard people and were confident in their role. The registered provider had an up to date whistle blowing policy which they ensured staff were aware of through staff meetings and supervisions.

People received their medicines in a safe way. All staff administering medicines had received up to date training and competency checks. Medicine administration records were completed and there were appropriate protocols in place for those people who required 'when required' medicines.

All risks to people's safety were assessed and monitored. All risk assessments had associated care plans in place to guide staff how to support people to manage those risks safely.

Staff rota systems had been changed to ensure they were more efficient in the deployment of staff, taking into consideration travel time, staff skill sets and history of support provision. The registered provider continued to recruit staff in a safe way, ensuring all appropriate checks were completed prior to staff commencing work.

Staff received regular supervisions and annual appraisals to discuss their personal development and success in their roles. Staff had received up to date training in a number of areas and the registered manager had an ongoing training plan to ensure staff training was kept up to date.

People were supported to meet their nutritional needs with staff supporting them when required. People had appropriate nutritional care plans and risk assessments in place if they required support to maintain a healthy balanced diet.

People had access to a range of healthcare professionals and staff supported them to access them in a timely way.

People's needs were assessed shortly after admission to the service and details of their life history were included in care records. People's care plans were personalised to each individual and included preferences, likes and dislikes. Care plans were reviewed regularly and updated in line with people's changing needs.

The registered provider had a number of quality audits in place to monitor service provision and inform ongoing development.

Inspection areas

Safe

Good

Updated 8 March 2017

The service was safe.

Medicines were managed in a safe way.

Staff understood how to safeguard people and were confident in their role.

All identified risks were assessed and managed.

Newly recruited staff had appropriate checks completed.

Effective

Good

Updated 8 March 2017

The service was effective.

People and their relatives felt staff were appropriately skilled and experienced.

Staff had up to date training and received regular supervisions. They also received annual appraisals to support their ongoing development.

People were supported to meet their nutritional needs.

People were supported to access health professionals.

Caring

Good

Updated 8 March 2017

The service was caring.

People and their relatives were happy with the service and felt staff were friendly, chatty and caring.

People were treated with dignity and respect. Staff encouraged people to maintain their independence.

People had access to advocacy services should they require them.

Responsive

Good

Updated 8 March 2017

The service was responsive.

People and their relatives felt the service met people’s individual care needs.

Care plans were personalised to each individual. They were reviewed regularly and updated in line with people's changing needs.

People and their relatives new how to raise any issues or concerns. Complaints received were fully investigated and acted upon.

Well-led

Good

Updated 8 March 2017

The service was well led.

There was a registered manager in place. Staff felt they were approachable and felt supported by them.

Staff attended regular meetings to discuss the service and any potential improvements.

The registered manager had adequate quality audit systems in place to monitor the ongoing quality and improvement of the service.