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Archived: Magnaset Limited t/a Care Choice

Overall: Good read more about inspection ratings

12-13 Church Walk, Trowbridge, BA14 8DX (01225) 767571

Provided and run by:
Magnaset Limited

Latest inspection summary

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Background to this inspection

Updated 29 August 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses, flats and specialist housing.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 8 August 2019 and ended on 20 August 2019. We visited the office location on 8 and 15 August 2019.

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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and four members of staff. We also spoke with the registered manager who is the provider. We reviewed a range of records. This included four people’s care records and medicines records. We looked at three staff files in relation to recruitment, and a variety of records relating to the management of the service.

After the inspection

We contacted five relatives by telephone for their views about the service. We also had feedback by email from three relatives. We contacted seven healthcare professionals for their feedback about the service.

Overall inspection

Good

Updated 29 August 2019

About the service

Magnaset Limited t/a Care Choice is a domiciliary care agency that provides personal care to people living in their own homes. At the time of inspection 27 people received a service; many of whom were people with a learning disability.

Not everyone who used the service received personal care. 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.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People were safely supported by staff who had been trained in safeguarding and were aware of how to report any concerns. Medicines were managed safely with clear guidance recorded in people’s plans for staff to follow. Risks were assessed and where needed staff had worked with professionals to put in place safe systems of work. There were sufficient numbers of staff to support people, most people had a core group of staff. There were times when care had not been able to be provided. However, the registered manager told us they “always tried their best” to find the right staff with the right skills.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were supported by a staff team who enjoyed their jobs and felt valued. Training was provided to make sure staff had the skills needed to support individuals. People and relatives were all complimentary about the staff employed. Relatives described staff as being “lifelines”, “amazing” and “always professional”. Staff were caring and knew people well.

People had care plans which were reviewed regularly. A copy was available in their homes, so they could look at them whenever they wished. If people’s packages of care allowed social support was provided. This enabled people to engage in a wide range of activity and work opportunities. The provider organised a day service one day per week for people to go and meet friends. Staff also supported some people to go on an annual holiday.

People, relatives and staff all told us the service was well-led. The registered manager was approachable, open and well respected. Feedback was encouraged and used to improve the service. Quality monitoring systems were in place which helped to identify any shortfalls and address them.

We have made a recommendation about quality monitoring systems.

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

Rating at last inspection: The last rating for this service was Good (report published 16 March 2017).

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.