We carried out a review of the data available to us about La Petite Concierge 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 La Petite Concierge Limited, you can give feedback on this service.
People’s experience of using this service and what we found
People were supported by staff that had been safely recruited and had received an induction and training suitable for their role. There were enough staff to meet people’s needs and people told us regular staff visited them and had got to know them well.
People’s needs were assessed before they were supported by the service. Each person had a care plan that reflected their preferences and routines. Care plans held sufficient information to guide staff on how best to meet people’s needs and they were regularly reviewed and updated. People told us staff were kind, caring and compassionate. Staff had a good understanding of how to meet people’s individual needs.
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.
People were protected from the risk of abuse. Safeguarding policies and procedures were in place and staff had received training on how to keep people safe. They told us they felt confident to raise any concerns they had about people’s safety.
Medication was managed safely. Staff who managed medication had completed the required training and had access to medicines policies and best practice guidelines to support their practice. Medication administration records (MARs) were fully completed and regularly reviewed. Staff had received infection control training and followed good practice to minimise the risk of infection being spread.
People’s privacy and dignity was respected and their independence promoted to the full. People spoke positively about the service and the staff that supported them. There were audit systems in place that identified areas for development and improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 4 March 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.
La Petite Concierge Limited is registered to provide personal care to people living in their own homes. It provides a domiciliary care service and supported living service. There were 29 people using the service on the day of our inspection. No one was receiving a supported living service.
A registered manager was in post and was present during 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 is run.
The provider had not submitted one statutory notification to us in accordance with their regulatory responsibilities. A statutory notification is information about important events which the provider is required to send us by law.
Staff recruitment records were not all accurate or complete. The provider gave assurance that these staff were suitable to support people in their own homes.
People were supported by staff who had been trained to understood how to recognise abuse and discrimination. Systems were in place for staff to follow which protected people and kept them safe from avoidable danger and harm. Staff knew how to and were confident in reporting any concerns they had about a person’s safety.
People were happy they were supported by sufficient numbers of staff to safely meet their needs. People felt safe with the staff that supported them because they saw them often and knew them. People were supported to take their medicines safely and when they needed them.
Staff had the skills and knowledge to understand and support people's individual needs. Training they received was kept up to date. Staff received support from managers and colleagues to enable them to perform their roles effectively.
Staff asked people’s permission before they helped them with any care or support and understood the importance of obtaining consent. People’s right to make their own decisions about their own care and treatment was supported by staff.
People that needed it received support to make sure they ate and drank enough. Staff helped people to access healthcare services when this was required.
People were supported by staff who knew them well and had good relationships with them. People were involved in their own care and felt listened to when they made their wishes known. Staff protected and respected people's dignity and privacy when they supported them.
People received care and support that was individual to their needs and preferences. People and their relatives knew how to complain about the service and felt comfortable about doing so.
People and relatives liked the fact that La Petite Concierge was a small and local service. They felt involved in the service and found staff and managers approachable. The provider had systems in place to monitor the quality of the service people received and worked to achieve continual improvement.