Archived: Complete Choice Care Services Limited

Updated 29 July 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

The inspection team comprised of one adult social care inspector. Two working days prior to the inspection we contacted the provider and told them of our plans to carry out a comprehensive inspection of the service. This was to ensure the registered manager would be available to answer our questions during the inspection.

We visited the agency office on the 12 June 2015, made telephone calls to speak with people who used the service on 18 June 2015 and spoke with three staff members by telephone on 1 July 2015.

We had not requested the service complete a provider information return (PIR); this is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make. However, before our inspection we reviewed the information we held about the service including notifications the provider had sent to us. We contacted the local authority commissioning team who informed us they had no concerns about the service.

During the inspection we spoke with five people who used the service, three care staff, and the registered manager. We did this to gain their views about the service provided. We also looked at the care and medicine records of four people who used the service and records about the how the service was managed.

Updated 29 July 2015

This was an announced inspection which took place on 12 and 18 June 2015. This was the first inspection of this service at this location. The service had previously operated elsewhere under a different location name. At the time of this inspection there were 33 people using the service.

Complete Choice Care Services Limited provides a range of care services to people who live within their own homes. The service operates seven days a week and care packages can vary from short term visits to a sleep-in service. Services provided include assistance with personal care, help with domestic tasks, the preparation of meals, medication monitoring, planned outings, social activities and carer support.

Complete Choice Care Services Limited has a registered manager who was present on the day of the 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. The registered manager is also the director of the service.

People told us they felt safe with the staff that supported them and felt the staff had the right skills and experience to meet their needs. They also spoke positively about the kindness and caring attitude of the registered manager and the staff.

We found sufficient suitably trained staff, who had been safely recruited, were employed to ensure people received the support they required. We saw that staff received the essential training and support necessary to enable them to do their job effectively and be able to care and support people safely.

We saw that all the staff had undertaken training in relation to the Mental Capacity Act 2005 (MCA). This training should help staff understand that assessments need to be undertaken to determine if people have capacity to make informed decisions about their care, support and treatment. The registered manager demonstrated a good understanding of the MCA. The MCA provides legal safeguards for people who may be unable to make their own decisions.

We saw that suitable arrangements were in place to help safeguard people from abuse. Guidance and training was provided for staff on identifying and responding to the signs and allegations of abuse.

All the care staff who dealt with people’s medicines had received medicine management training and we found the system for managing medicines within people’s homes was safe.

People’s care records contained enough information to guide staff on the care and support required. The care records showed that assessments were completed around risks associated with people’s care needs. Risks were also assessed in relation to the home environment. We saw that plans were in place to help reduce or eliminate any identified risk.

To help ensure that people received safe, effective care and support, systems were in place to monitor the quality of the service provided.