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  • Homecare service

Archived: Chosen Services UK Limited

Overall: Requires improvement read more about inspection ratings

62 Great Cullings, Rush Green, Romford, Essex, RM7 0YL (01708) 361773

Provided and run by:
Chosen Services UK Limited

Important: This service is now registered at a different address - see new profile

All Inspections

29 and 30 September 2015

During a routine inspection

This inspection was carried out over two days on the 29 and 30 September 2015 and was announced. The previous inspection of this service was on 11 September 2014 and we found they were fully compliant at that time with all the outcomes we looked at.

The service provides support with personal care to adults living in their own home. At the time of our inspection 20 people were using the service, but the registered manager told us only six of those received support with personal care.

The service had a registered manager in place. 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.

The service had not carried out robust assessments of the risks people faced and there was limited guidance available to staff about how to support people in a safe manner. The service did not always keep a record of when they had supported people to take medicines. Staff did not undertake sufficiently comprehensive training about moving and handling and supporting people with the aid of a hoist. Care plans were in place but these did not contain personalised information about how to support individual people. Quality assurance and monitoring systems did not always identify deficiencies within the service, in relation to care planning and risk assessments.

The service had systems in place to reduce the risk of abuse and staff had undertaken training about safeguarding adults. There were enough staff employed to meet people’s needs. Robust staff recruitment procedures were in place.

Staff received induction training which included shadowing other staff. Staff had regular supervision meetings with a senior member of staff. People were able to consent to the care provided and make choices about their care. This included making choices about what they ate and drank. People were supported to attend medical appointments.

People told us that staff treated them with dignity and respect and behaved in a caring manner. They said their cultural and religious beliefs were respected. Staff understood how to promote people’s privacy and independence.

People told us they were involved in planning their care. Staff had a good understanding of people’s individual support needs. People knew how to make a complaint and the service had a complaints procedure in place.

People and staff told us they found the registered manager to be approachable and accessible.

We found four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have asked the provider to take at the end of this report.

11 September 2014

During a routine inspection

A single inspector carried out this inspection. The focus of the inspection was to answer five key questions; is the service safe, is the service effective, is the service caring, is the service responsive, is the service well led?

There were two people receiving the regulated activity of personal care at the time of our visit. We spoke with two relatives of people who used the service. We spoke with the provider and two members of staff. We reviewed care records for people who used the service and records relating to the management of the service, which included four staff files.

Below is a summary of what we found. The summary describes what people who used the service and the staff told us and the records we looked at.

Is the service safe?

The relatives we spoke with told us they felt their family member was safe with care workers. All staff had attended training in the past year, which included safeguarding vulnerable adults.

There were up to date care plans in place for each person and there was evidence potential or actual risks had been assessed and plans put in place to manage such risks. Care plans included details of health professionals involved in the delivery of each person's care.

Is the service effective?

People who used the service were involved in decisions about their care and support. Staff supported people and advised them, but allowed the person who used the service to make the final decision. A member of staff told us, "I check what my clients want every day." We saw records that staff were being observed by the provider to ensure they were caring for people with dignity.

Is the service caring?

Staff told us how they cared for the people who used the service, working to meet the needs of people as individuals. A relative told us, "They know what we want and they do it. They get on well with X." Another relative told us 'They are OK.'

Is the service responsive?

People's individual needs had been assessed by suitably experienced staff. The staff we spoke with were aware of the needs of people who used the service and how to meet their care needs. The relatives we spoke with told us they were aware of how to make a complaint. The provider told us no complaints had been received in the past year.

Is the service well-led?

Staff told us they had regular meetings with the provider during spot checks. Written feedback had not been obtained from people who used the service in recent years; however there was a telephone monitoring system in place to get verbal feedback every three months.

17 May 2013

During a routine inspection

Relatives told us they were involved in planning the care provided and that staff treated people with dignity and respect. One relative said of the carer "she is fine, polite, she tells mum what she is doing." Staff were able to tell us how they promoted people's dignity. We saw that care plans were in place, but these contained only basic information. However, relatives told us that the service knew how to meet their relatives care needs.

We found that checks were carried out on staff before they began working with vulnerable adults. These included employment references and Criminal Records Bureau checks. Staff had an induction program in line with 'Skills for Care Common Induction Standards'. Staff told us they had regular training, and we saw certificates for this.

Relatives told us that the manager regularly contacted them to monitor the quality of service provided. One relative said "we keep in contact at least every other week. She (the manager) calls to see how things are." We saw records that showed the manager regularly contacted people to monitor the quality of service provided.

20 June 2012

During a themed inspection looking at Domiciliary Care Services

We carried out a themed inspection looking at domiciliary care services. We spoke with senior staff and one care worker at the time of our visit to the office and during our visits to people's own homes. We visited two people in their own homes as part of this review and spoke with them and their relatives about their experiences of the support they have received.

We asked people what it was like to receive services from this home care agency as part of a targeted inspection programme of domiciliary care agencies with particular regard to how people's dignity was upheld and how they can make choices about their care. The inspection was carried out by a CQC Inspector.

We used home visits to the two people who use the service and to their main carers (a relative or friends) to gain views about the service.

One person said:

" I have no issues of concern at all and am pleased with the service".

"I am happy with the care. The staff are very conscientious and serious about their responsibilities, as I see it".

The two people who used the service said they found their service to be friendly and respectful, and they felt consulted about how their care was delivered. They said they were always attended to by no more than two different regular care workers they had been introduced to by the registered manager.

People described the service as being flexible and reliable. The relative of one person told us that they had asked the agency to alter at short notice the times of visits to fit in with hospital appointments and family commitments and this had been promptly arranged.