P&T Cares 4 U Ltd

Updated 29 January 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by one Inspector and one assistant inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection-

We spoke with three care staff, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of documents and records including the care records for four people and related medicine records and three staff files and training records. We also looked at records that related to the management and quality assurance of the service.

After the inspection

We spoke via telephone with three people who used the service and three relatives about their experience of the care provided.

Updated 29 January 2020

P & T Cares 4 U Ltd provides personal care to people within their own homes. The service provides support for older people and younger adults and those with physical disability, dementia or with a sensory impairment. At the time of the inspection there were 52 people using the service.

People’s experience of using this service and what we found

People felt they were safe and relatives raised no concerns over how staff supported their family member. Staff knew how to escalate issues and concerns and were aware of potential risks when providing support. People received their medicines appropriately, as required. Staff used correct equipment, such as gloves and aprons when assisting people. Accidents and incidents were managed appropriately.

Staff received an effective induction and appropriate ongoing training, so they felt able to support people confidently. People felt that staff supported their individual needs and requirements. People received food and drinks as required and were supported to attend? attended any medical appointments. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People felt staff were kind and caring towards them. People were given choices and were able to make their own decisions as far as possible. Staff supported people to be independent and ensured that people’s privacy and dignity was maintained.

People and relatives felt involved in the development of care plans. Care plans provided staff with information about people’s needs and preferences and how they would like these to be met. A complaints procedure was in place and people and their relatives knew how to raise concerns and felt these would be addressed.

People, relatives and staff thought the service was managed well. The registered manager was described as approachable and open in the way they managed the service. Systems were in place to monitor the delivery of the service. Where issues arose action was taken to address these.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk