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Share the Care Limited Office Good

Inspection Summary


Overall summary & rating

Good

Updated 24 August 2018

The inspection was carried out on 17 July 2018, and was announced.

Share the Care Limited is a domiciliary care agency which provides personal care and support for people living in their own homes. The agency provides care for people in Queenborough area of Isle of Sheppey. This includes older people, people with a learning disability, mental illness, complex needs and people with a physical disability. Not everyone using the service receives a regulated activity of 'personal care.' CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and administration of medicines. Where they do, we also take into account any wider social care provided. At the time of the inspection, the service was providing personal care to 14 people.

At the last inspection, the service was rated Require Improvement. At this inspection, we found the service to be Good.

The service was last inspected on 20 June 2017 when it was given an overall rating of Requires Improvement. At that time, we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was with regards to the provider failing to operate an effective quality assurance system to ensure they assess, monitor and improve the quality and safety of the services provided. We also made two recommendations. These were in regard to risk assessments, failure to identify people's specific health and care needs, their mental health needs, medicines management, and a failure to follow robust recruitment procedures to make sure that only suitable staff were employed and the promotion of communication with staff.

We asked the provider to send us a plan of action which they returned in the agreed timetable, setting out what they would do to meet legal requirements in relation to the breach. The provider told us that the breach of regulation would be met by the November 2017. We undertook this inspection to check that they had followed their plan and to confirm that they now met legal requirements. At this inspection on 17 July 2018, we found improvements had been made in all areas and the provider was meeting the regulations.

There were two registered managers at the service. The registered managers were also the providers. 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 and associated Regulations about how the service is run.

Risks were appropriately assessed and mitigated to ensure people were safe. Medicines were managed safely and people had received their medicines as prescribed.

Staff knew what they should do to identify and raise safeguarding concerns. The registered managers knew their responsibilities in relation to keeping people safe from harm.

Effective systems were in place to enable the providers to assess, monitor and improve the quality and safety of the service. Accident and incident records were closely monitored, actions were taken in a timely manner to ensure lessons were learnt.

People were happy with their care and support. Staff had built up good relationships with people.

The service provided good quality care and support to people enabling them to live as fulfilled and meaningful lives as possible.

Staff were caring and kind in their approach and had a good rapport with people. People told us they were treated with dignity and respect. People’s privacy was respected.

People were asked about their needs relating to culture, race, religion and sexual orientation in the care plan. This was recorded and staff were aware of this.

There were enough staff deployed to meet people’s needs. The provider continued to operate a safe and robust recruitment and selection procedure to make sure staff were suitable and safe to work with people.

Inspection areas

Safe

Good

Updated 24 August 2018

The service was safe.

The registered manager followed safe recruitment practices.

People were protected from the potential risk of harm. Staff knew how to recognise any potential abuse and so help keep people safe.

Medicines were managed in a safe way. Staff had been adequately trained in medication administration.

There were enough staff available to meet people�s needs.

Effective

Good

Updated 24 August 2018

The service was effective.

Staff received on-going training in areas identified by the provider as key areas.

People were supported to be able to eat and drink sufficient amounts to meet their needs.

Staff were knowledgeable about people�s health needs, and contacted other health and social care professionals if they had concerns about people�s health.

People�s human and legal rights were respected by staff. Staff had the knowledge of Deprivation of Liberty Safeguards and Mental Capacity Act (2005).

The registered manager worked well in collaboration with outside agencies.

Caring

Good

Updated 24 August 2018

The service was caring.

People felt that staff provided them with good quality care. Staff kept people informed of any changes relevant to their support.

Staff protected people�s privacy and dignity, and encouraged them to retain their independence where possible.

Staff were aware of people�s preferences, likes and dislikes.

Wherever possible, people were involved in making decisions about their care and staff took account of their individual needs and preferences.

Responsive

Good

Updated 24 August 2018

The service was responsive.

People�s care plans reflected their care needs and were updated after care reviews.

The service was flexible and responsive to people�s needs.

People felt comfortable in raising any concerns or complaints and knew these would be taken seriously.

Well-led

Good

Updated 24 August 2018

The service was well-led.

The registered manager had processes in place to monitor the delivery of the service.

There was an open and positive culture which focused on people. The provider and registered manager sought people and staff�s feedback and welcomed their suggestions for improvement.

The registered manager was aware of their responsibilities to meet legal requirements.

Relatives felt the service was well managed and the registered managers would listen to them at any time.