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Inspection Summary


Overall summary & rating

Good

Updated 14 July 2018

Maria Care Services is a domiciliary care service, which provides support to people who live in their own homes. The provider is registered to support people with a wide range of needs including dementia, older people, and people who have physical disabilities. Maria Care Services provides a combination of services to people in the North Somerset area. They provide personal care and support to older people in their own homes in the North Somerset area. At the time of our inspection there were 56 people receiving personal care and support from the service.

Not everyone using Maria Care Services receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

At the last inspection in March 2017, we rated the service as 'Requires Improvement'. You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Maria Care Services on our website at www.cqc.org.uk.

At this inspection, we found the provider had made improvements and was no longer in breach of the Regulations.

The provider had systems in place to ensure people were protected from harm. Staff were knowledgeable about the actions to take if they suspected someone was being abused.

People had risk assessments and risk management plans to mitigate the risks they may face.

The registered manager had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required.

Staff had received safeguarding training and understood their responsibilities to report any incidents of alleged abuse.

There was a registered manager in post. 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.

People we spoke with told us staff that supported them were kind, patient and respectful. One person who received a service said, “I don’t know how I would manage without them.”

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care and staff visiting people's homes. These had been kept under review and updated when changes occurred to the person or environment

Staff had been recruited safely, appropriately trained and supported. They had skills, knowledge and experience required to support people in their own homes.

The management team deployed sufficient staffing levels to provide support people required in their own homes.

Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required. People told us they received their medicines at the times they needed them.

Care plans were organised and had identified the care and support people required. We found they were personalised and informative about care people received. They had been kept under review and updated when necessary. They reflected any risks and people's changing needs.

Staff had received food and hygiene training to ensure they were confident when preparing meals in people's homes.

The staff provided care that respected people’s dignity and independence and people felt they had choice and control. They told us they were treated as individuals and received person centred care.

The registered manager knew every person supported by the service and would often visit people to deliver care.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People who used the service and their relatives knew how to

Inspection areas

Safe

Good

Updated 14 July 2018

The service was safe.

Staff were knowledgeable about safeguarding and whistleblowing procedures to keep people safe from harm.

People had risk assessments and risk management plans to mitigate the risks they may face.

There were enough staff to meet people's needs.

The provider had safe recruitment processes.

Medicines were managed safely and people received their medicines as prescribed.

The provider had systems in place to protect people from the spread of infections.

Effective

Good

Updated 14 July 2018

The service remained good.

Caring

Good

Updated 14 July 2018

The service remained good.

Responsive

Good

Updated 14 July 2018

The service remained good.

Well-led

Good

Updated 14 July 2018

The service was well led.

Notifications were being made as required.

There was good governance and regular audits were carried out to monitor and improve the care provided.

There were good communication systems to update staff and ensure they were aware of changes to care packages and to changes within the agency.

There was a positive and open culture at the agency. Staff told us the owner was extremely supportive and approachable. They were readily available and responded to what staff told them.