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Archived: ACASA Good

This service was previously registered at a different address - see old profile

The provider of this service changed - see new profile


Inspection carried out on 16 February 2016

During a routine inspection

The announced inspection took place on 16, 18 and 19 February 2016. ACASA (Alexander’s Care and Support Agency) provides a domiciliary care service to enable people living in the Basingstoke and the surrounding area to maintain their independence at home. At the time of our inspection there were 146 people using the service, who had a range of health care needs. Some people were being supported to live with dementia, whilst others were supported with specific health conditions including epilepsy, diabetes, sensory impairments and mental health diagnoses. The agency also provided a reablement service called React, in partnership with Hampshire County Council. This service provided an intensive period of support for people in their own homes to re-learn skills and build the confidence they need to reach their maximum level of independence. At the time of the inspection the provider deployed 56 staff to care for people and meet their individual needs.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 registered manager also had responsibility for two other services within the care group. Therefore, the provider had appointed a local team manager who had responsibility for running the service on a day to day basis. A manager had also been appointed to supervise the delivery of the React service.

People were supported by staff they could trust, who made them feel safe. Relatives had no concerns for the safety of their loved one and told us they experienced good continuity and consistency of care from conscientious, dedicated staff.

Staff had received safeguarding training and knew how to recognise and report potential signs of abuse. Records showed safeguarding incidents had been reported, recorded and investigated in accordance with the provider’s safeguarding policies and local authority guidance. People were kept safe as staff understood their role in relation to safeguarding procedures. The registered manager and team manager ensured staff safety at work by effectively implementing the provider’s lone worker policy.

The registered manager ensured people were protected people from harm by identifying risks associated with their care and managing these effectively. Designated staff completed needs and risk assessments, which promoted people’s independence, while keeping them safe. Risk assessments gave staff clear guidance to follow in order to provide the required support to keep people safe. We observed staff support people safely in accordance with their risk assessments and support plans.

The registered manager completed a weekly staffing analysis to ensure there were sufficient suitably qualified staff available to keep people safe and meet their needs. Rosters demonstrated that the required number of staff to meet people’s needs was always provided, which we observed in practice. The provider had a stringent annual leave policy, which ensured there were sufficient staff to cover popular public holidays. Office staff had all completed the provider’s required training which provided resilience to cover any unforeseen staff absence.

Recruitment files showed that a thorough system was in place for pre-employment checks and the required records were available to confirm these had taken place. The provider had obtained proof of candidates’ satisfactory conduct in previous health and social care employment. People were safe as the provider had assessed the suitability of staff to provide care to people in their own home.

Staff told us they felt confident managing medicines and that their training had prepared them to do this. People received their medicines safely, administered by staff who h