We carried out a review of the data available to us about Care Plus Care (Isle) Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Care Plus Care (Isle) Ltd, you can give feedback on this service.
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults and people with physical disabilities or illnesses.
Not everyone using Care Plus Care (Isle) Ltd receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection 42 people were receiving a regulated activity.
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. We found the well-led domain had deteriorated to Requires Improvement.
Systems and process were not always effective in identifying shortfalls and had not always been successful in improving the quality and safety of the service. In addition, there was not always an accurate, complete and contemporaneous record for people. We made a recommendation about improving this.
People were protected from abuse and avoidable harm, by staff who knew how to keep people safe. People were supported to receive their medicines safely, although some minor recording errors had not been identified through audits, plans were in place to address this.
Staff received effective levels of supervision and support and were recruited safely. Staff had completed an induction and a range of training to equip them with the skills and abilities to meet people’s needs. People were supported to access healthcare and attend appointments. For those who required assistance with their nutritional needs, support was provided to maintain a diet of their choosing.
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 told us they were supported by regular staff, which provided continuity of care. Staff were caring and understood the importance of confidentiality and respected people’s privacy. People were supported to be independent and were treated with respect.
Staff assisted people in line with their preferences and were knowledgeable about people’s needs and preferred routines, to provide individualised care.
There was a registered manager in post who has legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. There was also a care manager who carried out the day to day running of the service. People and staff told us the care manager was very approachable and they felt listened to. People were aware of how to make a complaint and these were responded to appropriately.
Further information is in the detailed findings below.
Care Plus Care Isles Ltd is a domiciliary care agency which is located in Althorpe on the Isle of Axholme. The service provides personal care and support to people living in their own home.
This was the first inspection of this service which was registered with the Care Quality Commission [CQC] in April 2014. Before this inspection, which took place on the first of December 2015 we contacted the registered manager to tell them we would be inspecting the service. This ensured that they were present for the inspection.
The 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. 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 understood they had a duty to protect people from harm and abuse. They knew they must report concerns about abuse to the management team, local authority or to CQC. This helped to protect people.
Staff understood people’s preferences for their care. People were involved in developing their support plans which informed the staff about their individual care needs and risks to their health and wellbeing. Staff contacted relevant health professionals for help and advice to help maintain people’s wellbeing. Risks present within people’s home environment were assessed this helped to protect all parties.
People’s nutritional needs were assessed and monitoring occurred as necessary. Staff ensured people chose what they would like to eat to encourage their appetite.
Staff received training in medicine management and administration which followed the North Lincolnshire County Council guidance.
Staff understood that if people lacked capacity to make their own decisions then the principles of the Mental Capacity Act 2005 and codes of practice must be followed which helped to protect people’s rights.
Staffing levels provided were adequate to meet people’s needs. Staff had undertaken training in a variety of subjects to develop and maintain their skills. Training updates were provided and staff were supported by undertaking supervision and appraisals. This helped to identify any training needs staff may have and allowed all parties to discuss performance issues.
There was an on call system provided out of normal office hours. People using the service, their relatives or staff could gain help and advice from the management team at any time.
We visited a person who used the service. They told us the staff looked after them well and they said they had no complaints to raise.
There was a quality monitoring system in place. The management team undertook audits and checks were carried out to observe how the staff delivered care to people. People were asked for their views. Feedback was acted upon to maintain or improve the service provided.
There was a complaints policy in place so people could raise any issues at any time. Issues raised were dealt with appropriately.