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Care & Support Solutions Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 8 September 2018

This inspection activity took place on 28 August 2018 and was announced. We gave the provider 48 hours' notice that we would be visiting the service. This was because the service provides domiciliary care to people living in their own homes and we wanted to make sure staff would be available in the office.

Care and Support Solutions is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults some who may be experiencing mental health problems. At the time of the inspection 11 people used the service.

A registered manager was in post at the time of the inspection visit. They were registered with the Care Quality Commission in June 2016. 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 last inspection of the service was carried out in June 2017 and found that the service was not meeting all the requirements of Health and Social Care Act 2008 and associated Regulations. We found concerns relating to risks to people arising from their health and support needs and medicines were not administered safely. Audits were not effective enough to highlight the concerns we found. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of: Is the service safe and is the service well-led to at least good.

At this inspection we found that sufficient improvements had been made to say that the breach of regulation had been met.

We looked at the systems in place for medicines management and found that improvements had been made. Medicines were now audited monthly and people were receiving their medicines as prescribed.

Risk assessments had now been implemented and reviewed where required. They provided staff with sufficient information to manage and reduce risks where possible.

The registered manager now completed audits. However, some records needed further detail to make them person centred.

People were supported to receive care from the agency following an assessment. This covered all aspects of the care required by the person. Such as how many calls they would need each day, what their needs were in relation to mobility, continence and personal care, moving and handling and nutrition.

Staff had received safeguarding training and appropriate policies and procedures were in place. Staff were able to explain the action they would take if they suspected abuse.

Recruitment checks were in place and demonstrated that people employed had satisfactory skills and knowledge needed to care for people. All staff files contained appropriate checks, such as two references and a Disclosure and Barring Service (DBS) check.

There were sufficient numbers of staff employed. People received support from a consistent team of staff who were familiar with their needs.

Staff had received training and supervisions to ensure they had the skills and knowledge to carry out their roles. Staff were encouraged to develop their skills through continuous training.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People signed consent to acknowledge they had read and understood the support they were to receive.

Staff supported people to maintain a healthy balanced diet.

Care plans provided enough detail to enable staff to support the person in a way the person wished. We found some care plans needed more work to make them person centred.

People were complimentary about staff and told us that they were treated with kindness and consi

Inspection areas

Safe

Good

Updated 8 September 2018

The service was safe.

Medicines were now administered as prescribed

Risk assessments were now undertaken, and management plans were in place to protect people from harm.

People and their relatives told us they felt safe when they received care. Staff had received safeguarding training and were aware of their responsibilities to report concerns.

The service employed enough staff to carry out people's visits and meet their needs safely. Safe staff recruitment procedures were in place.

Effective

Good

Updated 8 September 2018

The service was effective.

People benefitted from having a regular team of staff who had the appropriate knowledge and skills to meet their needs.

People's rights were protected as the registered manager and the staff had a good awareness of the Mental Capacity Act 2005.

People were supported to maintain a healthy balanced diet.

Caring

Good

Updated 8 September 2018

The service was caring.

People told us they were treated with dignity and respect.

People's independence was promoted and encouraged by staff.

People were supported by a consistent team of staff which enabled positive relationships to be developed.

Responsive

Good

Updated 8 September 2018

The service was responsive

Care plans contained detailed information for staff to follow. Some care plans needed to be more person centred.

People were supported to access activities of their choice.

People felt confident they could raise concerns, and these would be listened to and dealt with promptly.

Well-led

Good

Updated 8 September 2018

The service was well led.

Effective systems were in place to assess and monitor the quality and safety of care.

People and staff found the management team approachable.

The management team knew about the needs of the people who used the service and provided a good level of staff support.

The service encouraged feedback and used this to make improvements.