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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 28 September 2017

This announced inspection took place on 18 August 2017. All Seasons Home Care is a family run home care business located in Carlisle near to the city centre. All Seasons Home Care provides domiciliary and live in carers to people living in the vicinity of Carlisle and surrounding areas. At the time of the inspection visit All Seasons Home Care was providing support to forty seven people and employed thirty one staff.

There was a registered person in place. A registered person who is an individual who has registered with the Care Quality Commission to manage the service. 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 the service at this location. The registered provider had moved offices since our last inspection visit. At this inspection visit we found all fundamental standards had been met.

People spoke positively about the quality of service provision on offer. Staff were described as caring and kind. People valued the relationships they had developed with their staff team.

Arrangements were in place to protect people from risk of abuse. Staff had knowledge of safeguarding procedures and were aware of their responsibilities for reporting any concerns.

People told us that on the whole staffing arrangements were good. They said staff were reliable and always carried out the commissioned hours.

People who had regular carers told us they had developed positive relationships with staff and this enabled them to feel safe.

Care plans were in place for people who used the service. Care plans covered support needs and personal wishes. People told us they were involved in planning their own service which enabled them to receive individualised support.

The service had systems in place to monitor and manage risks. However, we found these were not always fully documented. We raised this with the registered person who took immediate action to ensure all risks were fully documented. We have made a recommendation about this.

Staff told us the service was a good place to work. They praised the management and the way in which the service was run. They told us communication was good and described the managers as caring and approachable. Staff told us they were provided with training which supported them to carry out tasks proficiently.

Staff were positive about ways in which the service was managed. They described the working culture as positive and said team work was good.

Recruitment procedures were in place to ensure checks were made on staff prior to them starting work. This allowed the service to check people’s suitability for working with vulnerable people.

Suitable arrangements were in place for managing and administering medicines for people who required support with this.

People’s healthcare needs were met by the service. We saw evidence of partnership working with other healthcare professionals. When people required support with eating and drinking we saw appropriate records were maintained.

Staff who worked for the service had an understanding of the Mental Capacity. When people lacked capacity the service worked with other professionals to ensure capacity was assessed and appropriate systems were implemented.

The service was committed to ensuring person centred care was delivered and achieved. We saw evidence of regular consultation with people who used the service about their preferences and needs. The registered provider was working to ensure communication for people who used the service was fully accessible.

People told us whenever they had concerns and complaints they felt they could discuss them with the senior management team and were assured they would be dealt with efficiently and effectively.

The registered provider had a range of quality monitoring systems in place to ensure safe, effective and responsive care was provided.

Inspection areas

Safe

Good

Updated 28 September 2017

The service was safe.

Systems were in place to manage risk. However, these were not always fully documented. We have made a recommendation about this.

Processes were in place to protect people from abuse. Staff were aware of their responsibilities in responding to abuse.

Suitable systems were in place to support people with their medicines, if they required support with this.

The provider had suitable recruitment procedures to assess the suitability of staff.

The registered provider ensured there were appropriate numbers of suitably qualified staff on duty to meet the needs of people who used the service.

Effective

Good

Updated 28 September 2017

The service was effective.

People’s health needs were monitored and advice was sought from other health professionals, where appropriate. People who used the service told us their nutritional and health needs were met.

Staff had access to ongoing training to meet the individual needs of people they supported.

Staff had an understanding of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and the relevance to their work.

Caring

Good

Updated 28 September 2017

The service was caring.

People who used the service were positive about staff.

Staff had a good understanding of each person in order to deliver person centred care. People’s preferences, likes and dislikes had been discussed so staff could deliver personalised care.

People told us staff treated people with patience, warmth and compassion and respected people’s rights to privacy, dignity and independence.

Responsive

Good

Updated 28 September 2017

The service was responsive.

People told us they were involved in making decisions about what was important to them. People’s care needs were kept under review and staff responded when people’s needs changed.

The registered provider had a complaints system to ensure all complaints were addressed and investigated in a timely manner. This was made readily available to people who used the service.

Well-led

Good

Updated 28 September 2017

The service was well led.

The registered person had a good oversight of everything that occurred within the service.

The management team had good working relationships with the staff. All staff commended the skills of management and the communication processes within the service.

We saw evidence of people being consulted with in order to develop and improve the service.