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Inspection Summary


Overall summary & rating

Good

Updated 17 January 2018

This inspection took place between 4 December 2017 and 14 December 2017. This was the first inspection of the service and it was unannounced. MCare24 Limited is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection 11 people were provided with personal care.

A registered manager who was also the provider was in post at the time of our inspection. 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 was run.

People felt safe with all of the staff who provided care and supported them in their homes. There were arrangements in place to make sure there were sufficient staff available to meet people’s care calls and who understood the need to protect people from the risk of harm and abuse The registered manager had taken measures to reduce risks to people’s safety. Staff were trained in how to recognise abuse and understood the action they should take if they had any concerns people were at risk of harm. The registered manager checked staff’s suitability to deliver personal care in people’s own homes during the recruitment process.

People’s care plans included risk assessments for their health and wellbeing and explained the actions staff should take to reduce the identified risks. Staff understood people’s needs and abilities by working alongside experienced staff when they started working at the service, speaking with people about their needs and reading care plans.

The registered manager had developed a system to record accidents and incidents and to reduce any reoccurrence. Where people needed support to take their medicines they were assisted by staff who had been trained to do so. The registered manager had procedures in place to check people received their medicines as prescribed, in accordance with their health needs.

Staff received training and support to meet people’s needs effectively. Staff had opportunities to reflect on and improve their practice for the benefit of providing people with care and support to effectively meet their care needs. Staff recognised how their training had provided the knowledge of how to reduce the risks of infections spreading and had been provided with the right equipment to assist them in their daily care work.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. This included involving people in decisions about their day to day care. Staff knew which people may need help to make some key decisions about their lives and understood what action to take so people received the support they needed in these circumstances

Where people required support from staff with their meals and drinks this was provided. People were happy with how they could rely on staff if they needed assistance in accessing health care services when they needed them to get the best outcomes for people’s health and well-being.

People's care records were personalised and contained information about people's preferred daily routines. People who used the service and relatives were involved in the planning and review of their care so any changes could be responded to. The registered manager regularly delivered care and support, so they maintained an on-going relationship with each person.

People told us the staff who provided care and supported them in their homes were kind and respected their privacy, dignity and independence and said staff felt like their friends. People knew any concerns would be listened to and action taken to resolve any issues.

People were encouraged to share their opinions about the quality of the services provided during visits by the registered manager and at regular reviews of their care plans and through formal surveys.

The registered manager and staff team shared common values about the aims and objectives of the services they provided to people in their homes. People were supported and encouraged to live as independently as possible, according to their needs and abilities.

The registered manager had a candid approach to using the learning from external professionals and resources on the computer to aid the development of providing people with a home care service. The registered manager’s quality checking arrangements were continuing to be developed and included regular checks of people’s care plans and staff’s practice. When issues were identified action was taken to continually improve, develop and sustain the quality of the services provided to people in their homes.

Inspection areas

Safe

Good

Updated 17 January 2018

The service was safe.

People were confident their safety was met by staff who understood how to support people, so they were as safe as possible from harm and abuse. Staff understood how to provide support where people required assistance with their medicines. People’s needs were met by a sufficient number of available staff who had been recruited for their suitability to work with people in their own homes. The provider was continuing to develop the arrangements in place, to record accidents and incidents and reduce these from reoccurring. Staff understood how to reduce infections from spreading whilst providing the care people required.

Effective

Good

Updated 17 January 2018

The service was effective.

People’s care needs were assessed so staff could adapt their skills and knowledge to effectively provide the care each person required. New staff received support and training to support them in obtaining the knowledge they required to use equipment and meet people’s individual needs. Staff supported people to make their own decisions and to consent to their care and treatment. People received support to keep healthy and well. People were supported to follow healthy diets where this was required.

Caring

Good

Updated 17 January 2018

The service was caring.

People who used the service and their relatives were happy with the care they received which was provided in a kind and caring way. Staff involved people in their everyday care which showed people were treated as individuals. People were treated with respect and dignity with their independence respected by staff they had positive relationships with.

Responsive

Good

Updated 17 January 2018

The service was responsive.

People received care in the way they preferred and when they needed it. People’s individual needs were documented within their care records which were personalised and held details of people’s preferred daily routines. When people’s needs changed staff took action so people continued to receive care which met their particular needs. People who used the service and their relatives were supported and felt confident to raise complaints with the registered manager who listened to resolve these and used these to improve people’s care.

Well-led

Good

Updated 17 January 2018

The service was well led.

People who used the service and their relatives told us they were happy with the quality of the care they currently received. Staff benefitted from a registered manager who took a ‘hands on’ approach to maintaining the quality of care and to assist them in developing the service in line with people’s needs. People who used the service and their relatives were encouraged to share their opinion about the quality of the service, to assist the registered manager to make improvements.