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Inspection Summary


Overall summary & rating

Good

Updated 20 October 2018

This inspection took place on 5 September 2018 and was announced. At the comprehensive inspection of this service on 9 March 2017 we rated the service as good overall and in each of the five key questions. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

C N Healthcare Ltd is a service which is registered to provide personal care to adults in their own home. At the time of our inspection there were five people using this service. This service is a domiciliary care agency. It provides a service to older adults and younger disabled adults.

The registered manager remained in post. 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.

People told us they felt safe. Staff were trained in adult safeguarding procedures and knew what to do if they considered people were at risk of harm or if they needed to report any suspected abuse. Staff were aware of the whistleblowing procedures and knew how to use them.

The risks to people's safety and wellbeing were assessed and regularly reviewed.

The provider had processes in place for the recording and investigation of incidents and accidents.

There were sufficient numbers of staff available to help meet people’s needs.

People were supported appropriately with the management of their medicines.

Staff completed training for good practice with food hygiene and infection control.

The provider met the requirements of the Mental Capacity Act 2005 (MCA) to help ensure people’s rights were protected. Staff had received appropriate training and had a good understanding of the MCA. People and their relatives said staff sought their consent before providing care.

People were supported to access health care services as required in order to help them to stay healthy.

Relatives told us staff were consistently kind and caring and established positive relationships with people and with them. They told us staff valued people, treated them with respect and promoted their rights, choice and independence.

People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were given information about how to make a complaint and the people we spoke with knew how to go about making a complaint and were confident that they would be responded to appropriately by the provider. We saw evidence the registered manager responded to complaints received in a timely manner.

People and relatives were positive about the management of the service. The registered manager and the staff were approachable and fully engaged with providing good quality care for people who used the service. The provider had systems in place to continually monitor the quality of the service and there were arrangements for people to be asked for their opinions via surveys. Action plans were developed where required to address areas for improvements.

Inspection areas

Safe

Good

Updated 20 October 2018

The service continued to be rated ‘good’.

Effective

Good

Updated 20 October 2018

The service continued to be rated ‘good’.

Caring

Good

Updated 20 October 2018

The service continued to be rated ‘good’.

Responsive

Good

Updated 20 October 2018

The service continued to be rated ‘good’.

Well-led

Good

Updated 20 October 2018

The service continued to be rated ‘good’.