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Inspection Summary


Overall summary & rating

Good

Updated 8 August 2017

We undertook this announced inspection on 6 July 2017.

During our last inspection in August 2016 we found the provider was not meeting all the required Regulations. The provider did not make reasonable adjustments to care plans to enable people who used the service to receive their care when needs had changed and did not monitor and improve the quality and risks in relation to the health and welfare of services users. We found during this inspection that the provider had taken appropriate actions to address the requirements made.

AK Care Services Limited is a small domiciliary care agency providing care and support to four people living in their own homes. The agency had five care workers employed. The agency refers to care workers as personal assistants.

The agency had a manager registered with the Care Quality Commission (CQC). 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 demonstrated good understanding in how to recognise and report abuse and told us that they were confident that the provider would deal appropriately with allegations of abuse in relation to people who used the service.

People’s risk was managed appropriately, risk assessments reflected people’s needs and had been reviewed if people’s risk had changed.

People who used the service praised the provider’s flexibility to accommodate their requests to change calls and ensure the same care workers were allocated. Robust recruitment procedures ensured that all staff had been vetted appropriately prior to working with vulnerable people.

At the time of our inspection none of the people who used the service required any support with taking their medicines.

Care workers were provided with regular supervisions and appraisals to discuss and plan their development and training. Training was provided to care workers to ensure they had the necessary skill and knowledge to support people who used the service.

On occasions care workers helped people to prepare meals, however, all people were able to eat their meals without assistance.

Care workers had contacted the office if people’s health care needs had changed and on the person’s request accompany people to health appointments.

People told us that they had good relationships with the care workers who listened to their requests and provided caring and understanding support.

Care plans were reviewed regularly and had been updated if people’s needs had changed. People who used the service or their relatives had been involved in this process.

People told us they knew how to raise a complaint, but had currently no concerns regards to the treatment or care provided.

Regular spot-checks and surveys ensured people were able to comment on the care provided and suggest changes if required to improve the quality of care provided.

Inspection areas

Safe

Good

Updated 8 August 2017

The service was safe. Staff demonstrated understanding in how to protect people from harm and abuse. Staff knew the action required if they thought someone was at risk.

Staff were knowledgeable about risks and strategies were in place to ensure people were protected from risk in relation to their care.

Appropriate recruitment and selection processes were carried out to make sure only suitable staff were employed

Effective

Good

Updated 8 August 2017

The service was effective. Staff received training and supervision to support them in their roles.

Staff understood how to apply the Mental Capacity Act 2005(MCA) and demonstrated understanding to make sure people were not restricted unnecessarily.

People could be confident that they were supported appropriately if they required support to eat or drink.

Caring

Good

Updated 8 August 2017

The service was caring. Staff ensured people's rights to privacy and dignity were maintained while supporting them.

Staff treated people with kindness, respect and dignity and relatives were satisfied with the care and support their family member received.

Consistent staff ensured that meaningful relationships were developed who understood people’s likes and preferences.

Responsive

Good

Updated 8 August 2017

The service was responsive. People received personalised care which had been discussed and planned with them, including their relatives where necessary.

People knew how to complain and felt that they were able to raise any concerns and they would be listened to.

Well-led

Good

Updated 8 August 2017

The service was well-led. Staff felt supported by the registered manager who they described as approachable.

Quality assurance processes were in place including satisfaction surveys of people who used the service.