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

Inspection Summary


Overall summary & rating

Good

Updated 4 October 2018

This inspection took place on 28 and 29 August 2018. We announced the inspection to ensure that someone was available to speak with us during the inspection. The provider also had time to speak with people and gain their consent for us to visit them in their home.

This service is a domiciliary care agency. It provides the regulated activity personal care and treatment of disease, disorder or injury. This includes support with activities such as washing and dressing, the provision of meals and the provider also had individual arrangements in place to support people with their medicines where necessary. It provides a service to older people, younger adults, people with sensory impairment, physical disability, dementia and learning disabilities or autistic spectrum disorder.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of this inspection the provider was not supporting any people with learning disabilities.

Not everyone who used Caritas Care Solutions Limited received a regulated activity. CQC only inspects the service being received by people provided with 'personal care' or help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection 29 people were receiving a service, and 28 of those received a regulated activity.

The registered manager had been in post since 7 September 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.

Staff were fully supported in their role. The registered manager had ensured staff received regular supervisions and appraisals.

Manager's audits used to maintain and improve standards in the home were always dated and regularly completed to drive improvements across the service. Action plans were in place and had been followed up to address the areas identified as requiring improvements to be made.

Records had been updated and regularly reviewed so that information for staff was current and reflective of people’s needs. Staff had access to records via their handheld devices when providing care to people in their homes. In addition, paper documentation was available should they need to check or reference anything.

Quality assurance checks had identified and driven improvements across the service since our last inspection.

Staff had received additional training and the registered manager had regularly checked staff knowledge and understanding of the Mental Capacity Act.

People told us that staff arrived on time. If staff were running late people received a call from the office staff to inform them. All the people and their relatives we spoke with were happy with the service and felt staff knew their needs well.

Staff could describe the different types of potential abuse and knew how to report any incidents of abuse or potential abuse. The provider had ensured that notifications were sent to CQC in line with their registration requirements.

Policies were in place to support the safe administration, storage and disposal of medicines. Where people received support with their medicines, these were administered and recorded appropriately and regular spot checks were completed.

Recruitment procedures included appropriate checks to ensure prospective staff were of suitable character to work in a care setting and had the right to work in the UK.

Training records showed that staff had completed induction training and shadowed

Inspection areas

Safe

Good

Updated 4 October 2018

The service was safe.

Policies and procedures for medicines management had been reviewed and updated to ensure people received their medicines in line with best practice.

Staff we spoke with were knowledgeable about the different types of abuse and knew how and who they could report them to.

The registered manager was aware of their responsibilities and had been reporting all safeguarding incidents to the appropriate external agencies.

Effective

Good

Updated 4 October 2018

The service was effective.

Care plans had been regularly reviewed to reflect people's current needs.

Staff had been supported through training and regular discussions to understand their responsibilities in relation to the Mental Capacity Act (MCA).

Records showed that supervisions and appraisals had been regularly completed. These had been improved to include feedback from both other staff and people receiving a service.

Caring

Good

Updated 4 October 2018

The service was caring.

People and their relatives told us that staff were kind and caring towards them.

Staff knew the importance of maintaining people's dignity and respecting their right to privacy.

Relatives told us that staff promoted people's independent living skills which promoted their independence and well-being.

Responsive

Good

Updated 4 October 2018

The service was responsive.

People told us that care was delivered in a way that took into account their personal preferences.

Staff took time to spend with people to ensure they were free from social isolation.

Communication was available in different formats and staff adapted the way they communicated to meet people's needs.

Well-led

Good

Updated 4 October 2018

The service was well-led.

Staff described the culture of the service as open and honest.

The registered manager attended events and received email updates from various external agencies to keep informed of best practice and any key changes in legislation.

People and their relatives felt that management listened to their views and suggestions. Alongside regular audits and quality assurance checks the provider had worked to continuously improve service delivery.