We carried out a review of the data available to us about 1st Class Care Services2 Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 1st Class Care Services2 Ltd, you can give feedback on this service.
1st Class Care Services2 Ltd is a domiciliary care service that provides personal care to people in their own homes. It primarily supports older people and those living with dementia. 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. At the time of our inspection, 36 people were using the service, 26 of whom were receiving personal care.
People’s experience of using this service and what we found
People felt safe and comfortable receiving care from staff in their homes. Staff understood how to identify and report potential abuse involving people who used the service. The risks associated with people’s individual care needs had been assessed and managed. People received a reliable and punctual service from staff who had undergone pre-employment checks to ensure they were suitable to support them. People had support to take and manage their medicines safely, where they needed this. Staff and management took steps to protect people from infections. Management sought to learn from any accidents or incidents involving people who used the service to keep them safe.
People’s individual needs were assessed before their care started. Staff received an appropriate induction, training and ongoing management support to enable them to work safely and effectively. People had support to prepare meals and drinks where they needed this. Staff monitored people’s general health and wellbeing, and helped them seek professional medical advice if they were unwell. Staff and management worked effectively with community health and social care professionals to ensure people’s individual needs were met. 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.
Staff and management treated people with kindness and compassion and helped them to express their views on the care they received. Staff understood the importance of promoting people’s right to privacy and dignity.
People’s care plans were individual to them, provided clear guidance on their care needs and were read and followed by staff. People and their relatives were clear how to complain about the service, and felt comfortable doing so.
The management team promoted a positive, open culture within the service. Staff felt valued and well-supported in their work and were clear what was expected of them. People felt able to approach management at any time and had confidence any issues or concerns would be addressed. The provider had quality assurance systems and processes in place to enable them to assess, monitor and improve people's care.
Rating at last inspection
The last rating for this service was Good (published 26 April 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.
1st Class Care Services2 is registered to provide personal care and support for people in their own homes. At the time of our inspection 22 people received care and support from this service.
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 felt staff were kind and caring in the support they provided. Staff understood how to recognise and protect people from abuse and received regular training around how to keep people safe. Staff were not recruited until checks had been made to make sure they were suitable to work with the people that used the service.
People were supported by staff and management that were approachable and listened to any concerns that people or relatives had.
Staff were reliable and there were enough staff to meet people’s needs.
People were confident that staff had the knowledge, skills and experience to provide effective care and support. People’s care records contained the relevant information for staff to follow to meet people’s health needs and manage risks appropriately. Care plans and risk assessments were clear and updated quickly if people’s needs changed.
People were involved in the care and support that they received. People told us they had choice over the support they received and nothing was done without their consent. Staff understood the principles of consent and delivering care that was individual to the person.
Staff responded quickly if someone was unwell and supported people to access other health professionals when needed. People were supported to take their medicine safely and when they needed it.
The provider had awareness of current best practice. There were systems to measure the safety and quality of the service. Checks and audits were completed regularly to make sure that good standards of care were maintained.