We carried out a review of the data available to us about Carepride Limited 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 Carepride Limited, you can give feedback on this service.
Carepride Limited is a domiciliary care service providing personal care and support to people in their own homes. At the time of the inspection the service provided support to 41 people whose care was funded by a local authority and privately. Not everyone who used the service received personal care. CQC only inspects where people receive personal care.
People’s experience of using this service and what we found
There had been significant improvements following the inspection of September 2019. The service had introduced a new call monitoring system and had made changes to the auditing systems that they used. We did not identify any shortfalls within people’s care records or in relation to audits. People confirmed they had not experienced any missed visits.
People told us they felt the care they received from the service was safe. Staff had a good understanding of safeguarding and were able to tell us how they would report a concern. Risks to people had been identified and as such, this helped staff keep people safe and free from harm.
Accidents and incidents were recorded within people's care records and had been investigated.
Staff had been recruited safely. People received the medicines they required from a staff team who were trained in medicines administration. Staff had a good awareness of infection control. They were able to tell us about the PPE they wore and how often this was changed. All staff had undertaken training in relation to COVID-19 and infection control.
People benefitted from a service that was well led. The provider, registered manager and senior staff maintained a focus on seeking to improve the service people received. Quality assurance systems were in place and based upon regular, scheduled audits which identified any action required to make improvements. This meant the quality of service people received was monitored on a regular basis and, where shortfalls were identified they were acted upon.
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 05 December 2019). There were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an inspection of this service on 26 and 30 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service remains Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Carepride Limited on our website at www.cqc.org.uk.
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.
Carepride Limited is a domiciliary care service providing personal care and support to people in their own homes. At the time of the inspection the service provided support to 34 people whose care was funded by a local authority and privately. 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.
People’s experience of using this service and what we found
People were at risk of not always receiving a safe service because concerns relating to abuse were not always reported to the local authority as a safeguarding. Monitoring systems used by the service were not always safe.
Quality assurance systems, including audits, were not always effective and did not identify some of the shortfalls we found during the inspection. This included the failure to report safeguarding concerns, risk management, missed visits and poor record keeping.
People received consistent support from trained care staff who knew them well. Staff received regular supervision meetings and internal staff meetings.
Staff supported people to have enough to eat and drink and to access healthcare services when they needed. They telephoned for doctors or nurses to attend to a person if they were unwell.
People praised the quality of service they received and told us they would recommend it to other people who required this type of support.
People's needs were assessed, and people received care which met their needs. People were satisfied with the quality of care they received. Staff were kind and caring and treated people with respect. 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.
People were encouraged to maintain levels of independence by staff who were empowering. People's care was personalised to their wishes and preferences and took account of their personal circumstances, interests and hobbies. People were consulted and involved in decisions about their care. Complaints and incidents were opportunities to learn and improve.
Rating at last inspection: The last rating for this service was good (published March 2017).
Why we inspected: This was a planned inspection. The service was rated Requires Improvement overall. This was based on the findings at this inspection.
Enforcement
We have identified breaches in relation to the management of safeguarding, risks and good governance. Please see the action we have told the provider to take at the end of this report.
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.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
At the time of this inspection the service was providing the regulated activity of personal care to 45 people who lived in their own homes. The service was provided to younger adults and older people.
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.
The safety of people who used the service was taken seriously and the registered manager and staff were aware of their responsibility to protect people’s health and wellbeing. There were systems in place to ensure that risks to people’s safety and wellbeing were identified and addressed.
Staff were very motivated and proud of the service. They were fully supported by the registered manager and a programme of training and supervision enabled them to provide a good quality service to people.
The registered manager ensured that staff had a full understanding of people’s care needs and had the skills and knowledge to meet them. People received consistent support from care workers who knew them well. People had positive relationships with their care workers and were confident in the service. There was a good emphasis on key principles of care such as compassion, respect and dignity and promoting independent. People who used the service felt they were treated with kindness.
People received a service that was based on their personal needs and wishes. Changes in people’s needs were quickly identified and their care package amended to meet their changing needs. The service was flexible and responded very positively to people’s requests. People who used the service felt able to make requests and express their opinions and views.
The provider and registered manager were committed to continuous improvement. The registered manager demonstrated good values and, a desire to learn about and implement best practice throughout the service.
The registered manager demonstrated a good understanding of the importance of effective quality assurance systems. There were processes in place to monitor quality and understand the experiences of people who used the service.