You are here

The provider of this service has requested a review of one or more of the ratings.

Inspection Summary


Overall summary & rating

Good

Updated 22 January 2019

This inspection took place on the 3 January 2019 and was announced. This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older adults, people living with dementia and adults with learning disabilities or on the autistic spectrum. Three people were using the service and receiving personal care at the time of our inspection.

At the previous inspection of this service in January 2018, we found they were in breach of regulations because assessments had not been carried out to determine people’s needs and care plans lacked information about supporting people with personal care. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to address the breaches of regulations. During this inspection we found the service had addressed the issues and was no longer in breach of regulations.

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.

Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. There were enough staff working at the service to meet people's needs and robust staff recruitment procedures were in place. Staff had a good understanding about infection control issues and used protective clothing to help prevent the spread of infection. Systems were in place to promote the safe management of medicines.

The service carried out an assessment of people’s needs prior to the provision of care. This enabled the service to determine if it was a suitable care provider for each individual. Staff undertook an induction training programme on commencing work at the service and had access to regular on-going training to help them develop relevant skills and knowledge. Where people required support with meal preparation they were able to choose what they ate and drank. The service operated within the principles of the Mental Capacity Act 2005. The service supported people to access health care professionals.

People were supported by the same regular care staff so they were able to build good relationships. People were treated in a caring and respectful manner by staff and were supported to maintain their independence. The right to confidentiality was taken seriously by the service and staff understood the importance of this.

Care plans were in place which set out how to meet people’s individual needs and these were subject to review. People were supported to engage in community based activities where that was part of their assessed need. The service had a complaints procedure in place and relatives knew how to make a complaint.

Relatives and staff spoke positively about the registered manager. Systems were in place for monitoring the quality of support provided at the service. Some of these included seeking the views of people who used the service. The registered manager networked with other agencies to help develop their knowledge and to improve the quality of support provided to people.

Inspection areas

Safe

Good

Updated 22 January 2019

The service was safe. Appropriate safeguarding procedures were in place and staff understood their responsibility for reporting any safeguarding allegations.

Risk assessments were in place which provided information about how to support people in a safe manner.

The service had enough staff to support people in a safe manner and robust staff recruitment procedures were in place.

Systems were in place to reduce the risk of the spread of Infection. Medicines were managed safely.

Effective

Good

Updated 22 January 2019

The service was effective. People's needs were assessed prior to the provision of care to determine if the service was able to meet the person's needs.

Staff undertook regular training to support them in their role and undertook an induction programme on commencing working at the service. Staff received regular one to one supervision.

People were able to make choices about their care and the service operated in line with the Mental Capacity Act 2005.

The service supported people to access relevant heath care services.

Caring

Good

Updated 22 January 2019

The service was caring. Staff had a good understanding of how to promote people's dignity, privacy and independence.

Relatives told us people were treated with respect by staff and that staff were friendly and caring.

Systems had been established to ensure confidentiality was maintained.

Responsive

Good

Updated 22 January 2019

The service was responsive. Care plans were in place which set out how to meet people�s needs in a personalised manner. Care plans were subject to regular review.

Staff had a good understanding of people�s individual needs and how to support them. People were supported to access the community in line with their wishes.

The service had a complaints procedure in place and complaints were dealt with appropriately in line with the procedure.

Well-led

Good

Updated 22 January 2019

The service was well-led. There was a registered manager in place. Relatives and staff told us they found the registered manager to be supportive and helpful.

Systems were in place for monitoring the quality of care and support at the service. Some of these included seeking the views of people using the service.