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Inspection carried out on 8 November 2019

During a routine inspection

About the service

Invest in care is a domiciliary care service that provides personal care and support to people living in their own homes. There were 15 people receiving personal care at the time of the inspection.

Not everyone who uses 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 provider had not consistently followed their recruitment policy to ensure suitably skilled staff were in place. Checks had not consistently been carried out to ensure people had their needs met.

People were supported to have risks to their safety managed and were protected from abuse by staff that understood how to safeguard them. People received support from staff that understood how to minimise the risk of infection. Where incident happened, these were reviewed and learning was applied.

Staff were trained and supported in their role to provide effective care. People had their needs assessed and plans put in place to meet them. Where people had dietary needs identified these were planned for. Any health conditions were documented and people had support to maintain their health.

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 were supported by kind and caring staff who helped them to maintain their privacy dignity and independence. Staff supported people to make choices and decisions for themselves about their care and support.

People received person centred care which enabled them to have their preferences met including considering needs at the end of people’s lives. People received support to access the community and follow their interests.

The provider had a system in place to obtain feedback from people and listened and learned when people made complaints. There were systems in place to support continuous learning and partnerships and the registered manager understood their responsibilities.

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 good (published 9 May 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.

Inspection carried out on 23 March 2017

During a routine inspection

The inspection took place on 23 March 2017 and was announced. We gave the service 48 hours’ notice of the inspection because the manager is often out of the office supporting people who use the service. This was the first inspection of this service since it registered with us on the 26 May 2015

Invest In Care is registered to provide a personal care services to adults in their own homes. On the day of the inspection one person was in receipt of a service. There was a registered manager in post who was also the provider. 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.

Although other staff had been previously employed, at the time of the inspection the registered manager who was also the registered provider was the only member of staff providing care and support to the one person who used the service.

The registered manager was knowledgeable about how to keep the person safe and recognized the different forms of abuse and the action to take if required, in order to keep them safe.

The registered manager/ provider had the necessary skills and knowledge to meet their individual needs.

People had the support they required with their diet. Other health services were advised of changes in people's health and circumstances by family members

People's rights were protected and their consent was always sought before and during care. The service was delivered in a way that enabled people to make decisions on how they were supported and their wishes were met.

The registered manager had undertaken appropriate training so they would know how to promote people’s human rights. People’s dignity, privacy and independence were respected.

People were involved in the planning, assessment and review of their care which included people’s

preferences and choices.

People knew who to contact if they were unhappy about any aspect of their care. There was a system in place to manage complaints.

Systems were in place to monitor the service to ensure people received good quality care.