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Inspection carried out on 4 February 2019

During a routine inspection

About the service:

• Alina Homecare - Rustington is situated in Rustington, West Sussex. The provider, Alina Homecare, own services within the South of England. They provide disability support, live-in care and domiciliary care. Alina Homecare – Rustington provides support for 100 people, 98 of whom received the regulated activity of personal care. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People’s experience of using this service:

• People and their relatives consistently told us that the service had impacted their lives in a positive way.

• People spoke fondly of the staff and told us that they were kind, caring and compassionate.

• People were supported to remain safe.

• Staff maintained infection prevention and control.

• Sufficient staff ensured that people received their care visits.

• Staff had the right skills and experiences to meet people’s needs.

• People and their relatives told us that they felt safe and reassured by the support that was provided.

• People were involved in their care. Their wishes and preferences identified and respected.

• Staff were responsive to people’s needs and care was adapted to ensure people were at the centre of any decisions made.

• A person-centred culture was created by the provider and shared by all staff.

• 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.

• Robust quality assurance processes helped ensure the service was effective and met people’s needs.

• More information can be found within the full report.

Rating at last inspection:

• At the last inspection the service was rated as Good. (Published on 23 September 2016). At this inspection on 4 February 2019, the overall rating for the service has remained Good.

Why we inspected:

• This was a planned, announced comprehensive inspection to confirm that the service remained Good.

Follow up:

• We will continue to monitor the intelligence we receive about this service and plan to inspect in line with our re-inspection schedule for those services rated as Good.

Inspection carried out on 6 September 2016

During a routine inspection

The inspection took place on the 6 September 2016 and was announced. The service was given 48 hour’s notice because the location provides a domiciliary care service. We wanted to be sure that someone would be in to speak with us.

Alina Homecare Rustington is a domiciliary care service which provides personal care and support services for a range of people living in their own homes. These included older people and people living with dementia. At the time of our inspection 64 people were receiving a care service with an age range of 46 - 94 years old.

The service had 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.

The experiences of people were positive. People told us they felt safe, that staff were kind and the care they received was good. One person told us “I feel safe with the staff all the time, they are nice”. A relative told us “I know my relative feels safe using them and is comfortable with them all”.

There were good systems and processes in place to keep people safe. Assessments of risk had been undertaken and there were clear instructions for staff on what action to take in order to mitigate them. Staff knew how to recognise the potential signs of abuse and what action to take to keep people safe. The registered manager made sure there was enough staff at all times to meet people’s needs. When the provider employed new staff at the service they followed safe recruitment practices.

The provider had arrangements in place for the safe administration of medicines. People were supported to receive their medicine when they needed it. People were supported to maintain good health and had assistance to access health care services when needed.

Staff considered people’s capacity using the Mental Capacity Act 2005 (MCA) as guidance. People’s capacity to make decisions had been assessed. Staff observed the key principles in their day to day work checking with people that they were happy for them to undertake care tasks before they proceeded.

Staff felt fully supported by the registered manager to undertake their roles. They were given training updates, supervision and development opportunities. For example staff were offered to undertake additional training and developmental courses to increase their understanding of the needs of people using the service. One member of staff told us “I had never done this type of work before and I spent two weeks shadowing which was a lot but the manager told me there was no rush or pressure and to just be sure I felt ready and confident”. Another member of staff told us “I do all the training every year. It keeps you up to date.”

People and relatives told us that staff were kind and caring. Comments included “Yes very caring, we have laughs”, “Very nice and caring staff” and “Nice people, all good caring staff”.

People confirmed staff respected their privacy and dignity. Staff had a firm understanding of respecting people within their own home and providing them with choice and control. People were supported at mealtimes to access food and drink of their choice.

People’s needs were assessed and regularly reviewed and they received care based upon their needs and preferences. Staff were proactive in recognising and supporting changes in people’s needs. We found the care plans to be person centred and details recorded were consistent.

People and relatives said they were happy with the management of the service. People’s comments included “I call the manager, know them well and so helpful” and “Approachable manager and office staff are very good”. There were clear lines of accountability. The service had good leadership and direction from the registered manager. Staff comments