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Carrington Home Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 April 2020

Carrington Homecare is a domiciliary care agency providing personal care and support to people in their own homes. At present the service is supporting 38 people who live in and around the Barnstaple area.

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.

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

We found improvements were still needed in respect of safe and robust recruitment. We identified this as an area for improvement at our last inspection.

Improvements were still needed in respect of how the registered manager who is also the owner of the service, ensured quality assurances processes were checking the quality of care and records. Some improvements had been made since the last inspection. This included more regular spot checks on the care workers doing visits, ensuring staff had one to one supervision

to discuss their training needs and updating care plans and risk assessments. Further work is needed to ensure this is fully embedded.

People and their relatives said Carrington Care was a reliable, friendly and responsive service. People praised the caring and compassionate nature of support workers who visited them. Most people said their visits were usually on time and care workers were flexible and completed tasks as detailed in their care plan as well as anything additional people asked for. For example one person said, “The girls always ask if I need anything before they leave.”

People said they were supported to take their medicines at the right time. Staff had received training to ensure their competencies in this role. Records of administration of medicines were held at the registered office. These were checked, but there was no record of what they checked for and any actions taken to rectify any issues that may have been identified.

People received safe, consistent and person-centred care. This was because there were care plans and risk assessments for individuals. The senior staff had recognised that some of these needed updating and enhancing. This was being completed at the time of the inspection.

Staff said they were supported and more training had been offered and further training organised for this coming year. Staff said they enjoyed working for a small agency. One said “It’s good because we are small, we get to know our clients well. We cover each other’s shifts if needed. It’s very friendly.”

There was sufficient staff to meet people’s needs. The agency had developed a good reputation locally and there were no missed visits. People and relatives said they would be confident to raise any concerns or complaints with the office if needed.

Staff said their views and opinions were listened to and they all worked well as a team to ensure people had good outcomes.

There was good partnership working with healthcare professionals to ensure people’s health was closely monitored and people were supported to get the right help when they became unwell.

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.

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

Rating at last inspection (and update) – The last rating for this service was requires improvement (report published 28 February 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made/ sustained and the provider was still in breach of regulations.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at lea

Inspection areas

Safe

Requires improvement

Updated 1 April 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 1 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 1 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 1 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 1 April 2020

The service was not always well-led.

Details are in our well-Led findings below.