Archived: Creative Care Support Solutions

Updated 8 June 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.

This inspection took place on 20 April 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in. The inspection was undertaken by one inspector.

In planning our inspection, we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts. A notification is information about important events which the provider is required to send us by law. We reviewed regular quality reports sent to us by the local authority that purchases the care on behalf of people, to see what information they held about the service. These are reports that tell us if the local authority has concerns about the service they purchase on behalf of people.

The provider had completed a Provider Information Return (PIR). This is information we asked the provider to tell us about what they are doing well and areas they would like to improve.

During our inspection we spoke with one person that used the service and two relatives, two care staff, the registered manager and the nominated individual. We looked at safeguarding and complaints procedures, medication procedures and sampled two people’s care records; this included their needs assessments, care plans and daily reports. We also looked at the recruitment records of three care staff. The people using the service had only used the service for a short period of time before we inspected and the five staff were fairly new, so we spoke with the provider about the systems and processes that will be put in place for monitoring the quality of the service.

Updated 8 June 2017

This inspection took place on 20 April 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service; we needed to be sure that someone would be in.

Creative Care Support Solutions Ltd provides personal care and support for people living in their own homes. At the time of our inspection there were two people using the service.

There was a registered manager 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 is run.

This was the first inspection of this location since it was registered in April 2016.

There were processes in place to monitor the quality of the service. However, these had not been fully implemented and some key processes were not currently monitored for effectiveness.

People did not currently receive a service that was consistently safe, because staff had not received training on how to recognise abuse and not all staff were fully aware of the types of situations that could constitute abuse.

The provider could not be assured that people received their prescribed medicines safely as required. This was because staff practice for supporting people with their medicines did not match the care planned and agreed with the provider.

People felt that staff understood their needs and that their needs were being met. However, to date staff had not received all the training they needed to ensure that they were fully effective in their role and to protect people’s rights.

People were not supported by staff that had received all the relevant checks to ensure they were of good character and safe to provide care for people.

People were supported to maintain their diet and health needs where required. Staff were caring and people’s privacy, dignity independence and individuality was respected and promoted by staff.

People were confident that they were listened to and if they had concerns these would be addressed to their satisfaction. People had a good relationship with the registered manager and staff and felt that the service was caring and responsive to their needs.