We inspected Gifted Care Services Limited on 5 May 2016, the inspection 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. At our last inspection on 17 November 2015, we found the service required improvements against three of the five questions we ask about services: is the service safe, is the service effective and is the service responsive.
After the comprehensive inspection, the provider told us what they would do to meet legal requirements in relation to managing risks to people’s safety and welfare, consent and person centred care. We carried out this inspection to check that they had followed their plan and to confirm that they now met legal requirements. During this inspection we found that improvements had been made.
Gifted Care Service Limited provides personal care and support for adults living in their own homes. At the time of the inspection there were three people using the service.
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.
The provider did not have good systems in place to ensure medicines were managed safely. One person’s care plan did not record that medicines had been given. Staff had received the required medicines training.
People and their relatives told us they were satisfied with the consistency of the care staff and told us they stayed for the agreed length of time.
Risk assessments clearly identified control measures to minimise such risks and how staff would manage these. Risk assessments had been reviewed when there were changes to people’s health care needs. Assessments were carried out to determine the safety of people’s environment. Staff had completed training in managing risks.
Recruitment checks were carried out to assess the suitability of the staff employed by the service.
People using the service and their relatives told us they felt safe and secure. The safeguarding and whistleblowing polices required updating to reflect who staff would report to in the event of any concerns.
People were satisfied with the consistency of the care staff and told us they stayed for the agreed length of time
Staff had completed the required mandatory training and were supported with continuing professional development.
Staff had completed training and understood the Mental Capacity Act (MCA) 2005, and people’s consent was sought in line with legislation and guidance.
Care plans included people’s choices regarding their food preferences and hydration needs.
People and their relatives told us care workers were respectful, caring and they were treated with dignity when being supported in their homes. People spoke positively about the staff and told us they were involved in the decisions regarding their care.
People and their relatives told us that staff were attentive and caring and went beyond what was expected of them. People spoke positively about the staff and told us the same regular staff supported them in their homes.
Care plans were personalised and signed by people to show they had consented to the care they received. People told us their cultural and lifestyle needs were met by the service. Information was provided in a way that was accessible and appropriate to the needs of the people who used the service.
People and their relatives understood how to make a complaint and told us they felt able to raise any concerns if they arose.
Feedback was sought from people to obtain their views and comments to help improve the way the provider delivered care.
We found one breach of regulations relating to the safe management of medicines. You can see what action we asked the provider to take at the back of the full version of this report.