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

Inspection Summary


Overall summary & rating

Good

Updated 17 September 2019

About the service

Compassionate Care Team Ltd is registered as a domiciliary care agency providing the regulated activity ‘personal care’ to people who live in their own homes in Retford, Worksop, Ollerton and Edwinstow. At the time of the inspection visit there were 70 people using the service.

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

Systems were in place to safeguard people from abuse. Risks were assessed and safely managed. Medicines were managed safely, procedures were in place to support this. Some adjustments to a new electronic system needed to be made to ensure that staff were fully aware of when PRN should be administered. Safeguarding issues and complaints were analysed, and improvements were made. Staff were recruited safely. Sufficient numbers of staff were available to meet people’s needs.

People’s needs were assessed, and outcomes were met. Staff told us they received the training they needed to do their job well. People told us their nutritional needs were met. Care records described the support required to assist people with swallowing risks. People told us they were supported to access healthcare if they needed it. People’s consent to care was recorded in their care records. 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 consistently told us the staff team were caring and kind and they were fond of their regular staff. The provider had the interests of people at heart - staff and people confirmed this. People were given the opportunity to express their views and told us staff listened to them. Staff demonstrated a good awareness of how to maintain privacy and dignity.

People were receiving care which was responsive to their needs. People were consulted about the care they receive and were asked for feedback. People consistently confirmed they were fully involved in the development of their care plans, although some people told us they had not had reviews of their care plans recently. Care plans contained sufficient detail to meet people’s basic needs but required more information about people's likes/dislikes and a fuller history of people's lives. Complaints were managed and fully reviewed to ensure lessons were learnt.

The provider had a clear vision. Staff told us leadership was visible, accessible and managers lead by example. Staff were complimentary of the support they received from the management team. The provider recently implemented a new electronic care system. The system has improved the way care is recorded, incidents are reported, and information is shared within the team. Some people have expressed frustration with the new electronic care system and told us they did not have access to their information. The provider was looking at ways to improve this. Staff told us morale in the team was good.

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

Rating at last inspection (and update)

The last rating for this service was Requires Improvement (published 30 January 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 17 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 September 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 17 September 2019

The service was well-led.

Details are in our well-Led findings below.