Archived: Wright care 2012 Limited

This comprehensive inspection was carried out between 5 and 12 February 2019.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People said the service was safe and the staff were helpful. Staff understood how to report any concerns. People said there were enough staff employed to assist them with their agreed care packages and there was good continuity of care. The provider carried out recruitment checks to make sure only suitable staff were employed.

People’s needs were assessed before they began using the service to make sure the right care could be provided for them. Some people were assisted with their medicines where assessments and agreements were in place. The wording on medicines assessments did not always make it clear what level of support people required, so the registered manager agreed to change this.

Staff said they had enough training to carry out their roles. This included training in managing medicines although their competency had not been periodically checked. During the inspection the registered manager arranged a system of competency checks to be carried out. Staff did not have formally recorded supervision sessions but said they were supported by the management team and could discuss their professional development at any time.

Staff assisted people with their nutritional well-being if this was part of their care package agreement. The service worked with other health agencies where relevant.

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 supported this practice.

People said staff were caring, kind and friendly. There were good relationships between people and their small teams of staff.

Staff treated people with dignity and respect. They helped people to maintain as much independence as possible.

People received care that was based on their individual preferences and needs. They were fully involved in agreeing the plan of their support.

People and staff said the management team were open, approachable and always contactable. People had opportunities to give their views about the service. The provider gave information to people about what to expect from the service, their rights and the complaints procedure.

Further information is in the detailed findings below.

Wright Care 2012 (Wright Care) was re-registered on 14 March 2014 and this is the first inspection since the service was re-registered after the agency became a limited company. At the time of our inspection Wright Care was providing care and support to 30 people, with a variety of needs.

Wright Care is registered with the Care Quality Commission (CQC) to provide care and support to people living in their own homes in the Carlisle area of Cumbria. Care is provided to older people, some whom may be living with dementia, sensory impairment and other complex needs.

There was a registered manager in post at the time of our inspection. 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.

People were kept safe and free from harm. There were appropriate numbers of staff employed to meet people’s needs and provide a flexible service.

The registered manager was able to accommodate last minute changes to the care schedules if requested by the person who used the service or their relatives.

Staff received training and were knowledgeable about their roles and responsibilities. They had the skills, knowledge and experience required to support people with their care and support needs.

Staff knew the people they were supporting and provided a personalised service. Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. People told us they liked the staff and looked forward to the staff coming to their homes.

Medicines were managed safely and people received their medicines in line with their prescription.

The registered provider had a procedure for receiving and handling complaints about the service. People knew how they could complain about the support they received.

All staff had completed training in infection control and protective clothing was available to staff at all times. This helped to prevent cross infection.

There was an informal system in place to monitor the quality of service provided.