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Inspection Summary


Overall summary & rating

Good

Updated 24 March 2018

The inspection took place on 5 and 6 March 2018 and was announced. This was the first comprehensive inspection of this service since the provider initially registered with the Care Quality Commission (CQC) in May 2017.

This service is a family run domiciliary care agency. It provides personal care to people living in their own homes in the community. Enchanting Care is registered to provide a service for people living with dementia, older people, people living with a physical disability and younger adults. At the time of this inspection Enchanting Care supported three people with personal care.

The service had a registered manager. 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.

We have made a recommendation to the provider in relation to staff training in respect of the Mental Capacity Act (2005), learning disability, autism spectrum disorder and physical disability in the effective section of this report.

People were safe because staff understood their role and responsibilities to keep them safe from harm. Staff had received training to deliver care safely and to an appropriate standard.

Staff had a good knowledge of the provider’s whistleblowing policy and procedures which meant they were able to raise concerns to protect people from unsafe care.

People were supported by staff that promoted their independence, respected their dignity and maintained their privacy.

Care plans reflected people's individual needs and preferences and were regularly reviewed to ensure that they continued to meet people's needs.

Risks to people had been assessed and reviewed regularly to ensure people’s individual needs were being met safely.

Recruitment processes were robust to make sure people were cared for by suitable staff. There were sufficient numbers of staff deployed to meet people’s needs and to keep them safe from harm.

Staff understood the requirements of the Mental Capacity Act 2005 and their responsibilities to ensure that people who were unable to make their own decisions about their care and support were protected.

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There was an effective complaints system in place. People told us they were confident to raise any issues about their care and that they would be listened to and addressed.

People told us the service was well-led and managed by an effective and organised management team.

Systems were in place to monitor and improve the quality of the service provided.

Inspection areas

Safe

Good

Updated 24 March 2018

The service was safe. People were safe because staff understood their role and responsibilities to keep them safe from harm.

Robust recruitment procedures ensured that only suitable staff were employed. There were enough staff deployed to provide care and support to people in a safe way and when they needed it.

Risk was assessed and measures in place to reduce identified risk.

Medicines were managed safely.

Effective

Requires improvement

Updated 24 March 2018

The service was not always effective. Staff had not received all of the training relevant to their role in respect of some specific conditions.

Staff were supported in their role through regular supervision meetings with management.

Staff had a clear understanding about the importance of identifying any concerns about people's food or fluid intake and reporting them promptly.

Caring

Good

Updated 24 March 2018

The service was caring. Staff were kind and caring and had developed positive relationships with the people they supported.

Staff understood people's needs and how they liked things to be done.

Staff respected people's choices and provided their care in a way that maintained their dignity.

Responsive

Good

Updated 24 March 2018

The service was responsive. Care plans reflected people's individual needs and preferences.

Care plans were regularly reviewed to ensure that they continued to meet people's needs.

The provider had a complaints policy which set out the process and timescales for dealing with complaints.

Well-led

Good

Updated 24 March 2018

The service was well-led. Effective audits and systems to measure the quality of the service were in place.

The registered manager and staff with management responsibilities knew their role and responsibilities in ensuring a high standard of care.

Staff felt supported by the registered manager and management team and shared the providers vision and values.