Background to this inspection
Updated
14 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Care2Home Ltd. is a domiciliary care agency which means it provides personal care to people living in their own homes.
The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit because the staff and the management team are often out of the office supporting staff or providing care. We needed to be sure that they would be in.
We visited the office location to see the manager and office staff; and to review care records and policies and procedures. Telephone calls were made to people using the service and their relatives on 23 April 2019.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and other professionals who work with the service. We assessed the Provider Information Return (PIR) that had been submitted. Providers are required to send us a PIR at least once annually to give some key information about their service, what they do well and improvements they plan to make. This information helps support our inspections
We spoke with three people and five relatives to gather their views on the service being delivered. We also spoke with the registered manager, the care manager, two care supervisors and three care staff. We used this information to form part of our judgement.
We looked at five people’s care records to see how their care and treatment was planned and delivered. Other records looked at included two recruitment files to check suitable staff members were recruited and received appropriate training. We also looked at records relating to the management of the service along with a selection of the provider’s policies and procedures, to ensure people received a good quality service.
Updated
14 May 2019
About the service:
Care2Home Ltd. is registered to provide personal care to people living in their own homes. At the time of the inspection the service was supporting 31 people with their personal care, most of whom have a disability or are living with dementia.
People’s experience of using this service:
People and their relatives consistently told us they were happy with the way the care and support was delivered and were positive about the staff team. Typical comments included “My relative always gets the same carer who goes over and above and does extra tasks” and “The carers are all very kind and caring.”
People told us they felt safe being supported by the staff team and staff had a good awareness of how to protect people from harm and potential abuse. Checks on new staff were carried out to make sure they were suitable for this type of work and people received the right medication at the right time.
The provider ensured staff received training to enable them to carry out their roles effectively. Staff were proactive in monitoring and promoting people’s health and ensured that healthcare professionals were involved in assessing and planning for people’s health needs. People were supported to eat and drink when they needed this help.
People received care and support from a consistent team of staff who knew people well and understood how best to communicate with people. People’s individual preferences were known and respected and people had the opportunity to make choices about their daily life.
The provider had effective systems in place to respond to complaints and people and their relatives were happy that their concerns were listened to. Care and support was changed when people’s needs changed to ensure people received care that was up to date.
The registered manager had promoted a strong sense of person centred care amongst the staff team and feedback indicated that people, relatives and staff were happy with the way the service was being led. Staff performance was closely monitored and audits were carried out to check the quality of the service. The service was well organised and ran smoothly to ensure staff had the time to spend delivering care that was not rushed.
Rating at last inspection:
Good (report published 19 October 2016).
Why we inspected:
This was a planned inspection to check the service remained good.
Follow up:
We will also continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner
For more details, please see the full report which is on the CQC website at www.cqc.org.uk