Archived: Kare Plus Mansfield

Updated 2 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service,and to provide a rating for the service under the Care Act 2014.

The inspection team:

The inspection team consisted of one inspector.

Service and service type:

Kare Plus Mansfield is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older people, people with physical disabilities, learning disability, mental health and people who are living with dementia.

The service had a registered 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 visit because the manager was often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

Inspection activity started on 28 March 2019 when we visited the office location to meet with the registered manager, the director and review records. It ended on 4 April 2019 when we completed telephone calls to people, their relatives and staff.

When planning our inspection, we looked at the information we held about the service. This included any notifications received from the provider about significant events which they are required to tell us about by law. We reviewed the information from the provider's completed Provider Information Return. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with five people who used the service and one relative. We also spoke with the registered manager, the director of the franchise, the care co-ordinator and three care staff. We reviewed care records for three people, including their care plans to ensure the care provided reflected their current needs. We also looked at records in relation to the management of the service including four staff recruitment and training records and quality assurance systems and processes.

Updated 2 May 2019

About the service: Kare Plus Mansfield is a domiciliary care agency. It provides personal care people living in their own homes and flats in the community. It provides a service to older people, people with physical disabilities, learning disability, mental health and people who are living with dementia. Not everyone using this service received regulated activity; CQC only inspects the service being received by people provided with 'personal care', 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 our inspection there were 20 people using the service.

What life is like for people using this service:

People were kept safe by staff who understood how to safeguard people from abuse and the actions they needed to take to protect people from the risk of harm. There were sufficient numbers of staff to support people and staff were recruited safely. There were appropriate infection control practices in place and people were supported to take their medicines safely.

People were supported by staff who had completed the relevant training to give them the skills and knowledge they needed to meet people needs. People were supported to have sufficient amounts to eat and drink and protected against the risk of poor nutrition. Staff supported people to maintain their health and well-being. 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.

Staff were kind, caring and treated people with dignity. People were encouraged to remain independent where possible and were supported to be involved in the planning and provision of their care.

People and those important to them were at the centre of the assessment and care planning process. People were supported to express their wishes and preferences regarding their care and staff were provided with information which enabled them to provide personalised care. People and relatives were confident to raise concerns and complaints and these were listened to, resolved and used to drive improvements in the service.

The provider had systems in place to monitor the quality of the service to ensure people received good care. People, relatives and staff were given the opportunity to feedback on their experience of the service and contribute to the improvement and development of the service.

Rating as last inspection: We inspected this service in September 2017 and rated the service as Requires Improvement.

Full details of this report can be found at www.cqc.org.uk

Why we inspected: This was a scheduled inspection.

Follow up: We will continue to monitor the quality of the service through the information we received until we return to visit as per our re-inspection programme. If any information of concern is received, we may inspect sooner.