Background to this inspection
Updated
23 November 2019
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
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service two working days’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.
Inspection activity started on 17 October 2019, when we visited the agency’s office and ended 04 November 2019, when we carried out telephone calls to people, people’s relatives and care staff
What we did before the inspection
Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. Other information we reviewed included the previous inspection report.
We also used the information the provider sent us in the provider information return (PIR). 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 discussed the PIR with the nominated individual during the inspection. We used all this information to plan our inspection.
During the inspection-
We spoke with the registered manager who is also the nominated individual (the nominated individual is responsible for supervising the management of the service on behalf of the provider). We also spoke with two care staff and reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of five people using the service, four staff employment records, quality monitoring records and some policies.
After the inspection
We spoke with three people using the service. We also spoke with two people’s relatives, four care staff and three social care professionals.
Updated
23 November 2019
About the service
Care Compassion Limited provides a domiciliary care service that delivers personal care and other support to people in their own homes. Not everyone who used the service received personal care. Care Compassion Limited also provided a range of other services that included; cleaning, shopping and supporting people with a range of activities. The Care Quality Commission (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. At the time of inspection, five people were receiving personal care.
People’s experience of using this service and what we found
People told us that staff were kind to them and they received a service which met their individual needs and preferences.
People were fully involved in the assessment, planning and review of their care. People were aware of their care plan, which they kept in their home. Staff were knowledgeable about people’s care needs and provided personalised care.
People felt safe when receiving care from staff. People’s risk assessments were detailed and included guidance for staff to follow to manage and reduce risks to keep people safe.
Staff knew how to recognise and report any concerns they had about people's welfare.
Staff undertook training that supported them to have the knowledge and skills to do their job well and effectively meet people's needs. They received the support and guidance they needed from the registered manager.
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.
The provider had systems in place to manage and resolve complaints.
People and their relatives had opportunities to provide feedback about the service, and action was taken to address issues they raised.
Staff generally arrived on time and always stayed for the duration of the planned call. People told us the service was flexible and they were kept informed of any changes.
The registered manager was very committed to providing people with good personalised care and supported people to achieve the best possible outcomes.
Systems were in place to assess and monitor the quality and delivery of care to people. The registered manager was committed to identifying ways of continually improving the service.
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 22 August 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.