Background to this inspection
Updated
13 March 2020
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 undertaken by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people in their own homes.
Notice of inspection
We gave the service a week’s 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 5 February 2020 and ended on 18 February 2020. We visited the office location on 5 and 12 February 2020.
What we did before 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 visited two people who used the service and met a relative. We spoke on the telephone with a further person and a relative about their experience of the care provided. We also spoke with the provider and three members of care staff, and with a professional who has contact with the service.
We reviewed three people’s care and medication records. We also looked at two staff files and a variety of records relating to the management of the service, such as audits and minutes of meetings.
We sought feedback from the local authority and professionals who work with the service.
After the inspection
A professional provided feedback about the service.
Updated
13 March 2020
About the service
Care Purbeck is a domiciliary care service that provides care and support to adults in their own homes. It was providing personal care to 12 people at the time of the inspection.
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
The service had a clear, compassionate person-centred culture. The provider and staff frequently exceeded people’s expectations, providing kind, thoughtful and sensitive assistance over and above their care package, at no cost to them. This promoted people’s independence. Recognising that people were often lonely or had practical worries, the provider had appointed a support worker to provide social contact and assistance with tasks such as form filling.
People and relatives felt the provider and staff knew them well and understood how they liked things done. They confirmed staff always respected their privacy and dignity.
People and relatives were confident in the abilities of the staff and felt safe with them. Staff arrived when they expected them to and did not cut visits short. They understood how to recognise and report suspected abuse. Risks to people’s health and wellbeing were assessed and managed. Medicines were handled safely, where the service was responsible for this.
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.
People and their relatives were very happy with the care and support provided. Assessments and care plans were devised and reviewed with involvement from people and their families and were kept up to date. The provider was flexible in accommodating what they needed, sometimes at short notice.
People, relatives and staff were confident in the provider’s leadership of the service. The provider regularly met people and maintained a close oversight of the service. The provider had clear expectations of staff, who shared the provider’s caring, person-centred ideals. They enjoyed and cared about their work. They were well supported through training and supervision.
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 (published 8 July 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.